ROBERT SKANE (NPI# 1932319555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932319555 |
| Entity Type | Individual |
| Full Name | ROBERT SKANE |
| Other Name | ROBERT SKANE |
| Practice Address |
1046 Fairfield Ave Bridgeport CT 06605-1116 |
| Practice Telephone | 2033306054 |
| Practice Fax Number | 2033314716 |
| Mailing Telephone | 2033306054 |
| Mailing Fax Number | 2033314716 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | LCSW002700 | CT | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000299 | CT | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LCSW002700 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1046 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459094 | Andrea Cristina Rivadeneira | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2020-08-24 |
| 1649814351 | Martha Catherina Velasco | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-11-06 |
| 1952945727 | Mara E Richardson | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-11-04 |
| 1023675873 | South- West Community Health Center, Inc | Clinic/Center | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-05-28 |
| 1043797020 | Tara Concetta O'neil | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2018-07-23 |
| 1639684111 | Julienne Gousse | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-12-06 |
| 1366951758 | Miranda Leah Demirjian | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-09-28 |
| 1407307119 | Southwest Community Health Center | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605 | 2016-10-18 |
| 1316351521 | Richard Dunn | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2014-06-16 |
| 1437592615 | Janet L Garris | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467077149 | Valayshia T Brookins | Counselor | 1635 Capitol Ave # 2, Bridgeport, CT 06604-1525 | 2020-06-09 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1811380868 | Rachel S Sherman | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722-9702 | 2015-03-16 |
| 1083951388 | Henry Torres | Counselor | 1635 Central Ave Rm 427, Bridgeport, CT 06610-2717 | 2013-01-08 |
| 1063799187 | Ebony L Davidson | Counselor | 629 Jewett Ave, Bridgeport, CT 06606-2836 | 2011-11-03 |
| 1184888422 | Andro Kim Haws | Counselor | 111 Davisson St, Bridgeport, WV 26330 | 2008-07-16 |
| 1033320569 | Mary Elizabeth Mester | Counselor | St. Augustine's School, Bush & Rambo Sts, Bridgeport, PA 19405-1510 | 2007-05-25 |
| 1821208406 | Julie Marie Werner | Counselor | 112 Oakwood Circle, Bridgeport, WV 26554 | 2007-05-23 |
| 1003425588 | Patrice M Wolinski | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722-9702 | 2020-07-30 |
| 1609402510 | Dawn M Colley | Counselor | 27 Trovato St Ste 103, Bridgeport, WV 26330-7286 | 2020-03-23 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
Please comment or provide details below to improve the information on ROBERT SKANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.