Isis Mariah Skarra-Pergler-Stoffers, L.C.S.W
Individual provider Active NPI Mental Health Counselor · Point Arena, CA
NPI 1043767668 · NPPES record last updated Mar 24, 2024
Key facts
- NPI
- 1043767668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LCSW110347 (CA)
- Practice address
- 270 Lake Street
Point Arena, CA 95468 - Phone
- (505) 670-8650
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW110347 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW110347 | CA | Yes |
Addresses
Primary practice location
270 Lake Street
Point Arena, CA 95468
Mailing address
43200 Eureka Hill Rd
Point Arena, CA 95468-8851
Phone (505) 670-8650
Other providers in Point Arena, CA
- Judith Hughes
- Pharmblue California LLC
- Redwood Coast Medical Services, Inc.
- Redwood Coast Medical Services, Inc.
- Gracia Lauren Sikes
- Sonoma County Indian Health Project, Inc
All providers in Point Arena, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.