Lilli Randall Skeeters

Individual provider Active NPI Clinical Social Worker · Fairview, NC

NPI 1043062482 · NPPES record last updated Apr 1, 2024

Key facts

NPI
1043062482
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
88 Church Rd
Fairview, NC 28730-8519
Phone
(336) 706-2181
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

88 Church Rd
Fairview, NC 28730-8519

Mailing address

88 Church Rd
Fairview, NC 28730-8519
Phone (336) 706-2181

Other providers in Fairview, NC

All providers in Fairview, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.