Jessica Skraastad Iliff | Louisville, KY • PECOS Search

Jessica Skraastad Iliff

Social Worker

Behavioral Health & Social Service Providers

800 Zorn Ave, Louisville, KY 40206-1433

(502) 287-6000 (502) 290-0573

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Skraastad Iliff does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1982733960
Provider Type
Individual
Full Name
Iliff, Jessica Skraastad
Credential
MSSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2007
Last Updated
8/27/2007

Contact Information

Practice Location

800 Zorn Ave, Louisville, KY 40206-1433

Unlisted Fax

Mailing Location

10304 Royce Ct, Unit 201, Louisville, KY 40241

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 3138 Kentucky