SearchNew York1041C0700X

Jack Skelton, LCSW, MA

NPI 1407563190 · on the registry since 2022 · sole proprietor

Practice

Address
289 Empire Blvd Apt 2c
Brooklyn, NY 11225
Phone
(315) 406-5124
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York