MEDICARE: DEANNA SKLARSKI LMSW

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	6801062439	MI

General Provider Information

NPI Number	:	1437682457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA SKLARSKI LMSW

Provider Business Mailing Address
First Line	:	901 N BLAIR AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-2062
Country	:	US
Telephone Number	:	248-635-6880
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 E MAPLE RD # 5
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6324
Country	:	US
Telephone Number	:	567-343-2102
Fax Number	:

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

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	12/10/2025

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