Lysandra C Scott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

38659 Issued in ID

Practice address

3023 E Copper Point Dr Ste 108
Meridian, ID 83642-9290

Phone

(208) 914-8924

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Cultivate Counseling, LLC

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1659048783
  NPD
• Thrive Counseling of Idaho, LLC

  • Community/Behavioral Health Agency
  • Meridian, ID
  • NPI 1992046346
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1073164638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 W KOOTENAI ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 E COPPER POINT DR STE 108",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429290",
            "telephone_number": "208-914-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LYSANDRA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "38659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Noble Schwendiman, D.O.
• Scott P. Hoopes, M.D., P.a.
• Jennifer L Scott, MD, PHD
• Jonathan Neal Scott, DMD
• Lauren W Scott, M.P.T.
• Mazie Grace Scott
• Steffany L Scott, M.S.-C.C.C.-S.L.P.
• Rachel Lynn Scroggins
• Megan Brooke Seaholm, LMSW
• Annie Searcy, M.S. CCC-SLP

• Clinical Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.