Skylah Gendreau, TCM/MHRTC/LMSW-CC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC26109 Issued in ME

Practice address

147 Academy St
Presque Isle, ME 04769-3101

Phone

(207) 496-7594

Fax

(207) 764-6077

NPI assigned

Jun 29, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life by Design, PA

  • Clinical Social Worker
  • Presque Isle, ME
  • NPI 1053345918
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1073439485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BLAKE ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-496-7594",
            "fax_number": "207-764-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDREAU",
        "first_name": "SKYLAH",
        "credential": "TCM/MHRTC/LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC26109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R. Gagnon, FNP
• Sarah E Gahagan
• Donna L Gallant, C.PED, BOCO, CMF
• Mary Gallant, FNP
• Paulette J Garrison, MHRT-CSP
• Jeffrey Davenport Georgia, M.D.
• John C Gershman-Tewksbury, MD
• Bethany Gervais, MSOT
• Donald L Gibson, MHRT-CSP
• Andrea Clark Girvan, RPH

• Social Worker in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.