MEDICARE: MAURA SKEHAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09931650	CO
2	1041C0700X	Clinical Social Worker	17719	SC
3	1041C0700X	Clinical Social Worker	SW22436	FL

General Provider Information

NPI Number	:	1205695772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA SKEHAN LCSW

Provider Business Mailing Address
First Line	:	4373 SANDNER DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-3454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4373 SANDNER DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-3454
Country	:	US
Telephone Number	:	860-716-4696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	02/06/2026

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