Individual provider Active NPI

Meagan Lynn Scott, LCSW

  • Clinical Social Worker
  • Orange, CT
National Provider Identifier
1073851432
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008184 Issued in CT
Practice address
370 Boston Post Rd
Orange, CT 06477-3534
Phone
(203) 767-9966
NPI assigned
Jan 19, 2013
Last updated
Jan 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008184 CT Primary
School Social Worker 1041S0200X 008184 CT

Addresses

Primary practice location

370 Boston Post Rd
Orange, CT 06477-3534

Mailing address

68 Hall Dr
Orange, CT 06477-2543
Phone (203) 767-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326000910 CT Practitioner - Clinical Social Worker 6103143433 Reassigns benefits to 1 organization
Practice locations: Orange, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Wellness, LLC Clinical CurrentSince Aug 1, 2016 Accepting new patients
Connecticut Psychiatric & Wellness Center PastSince Dec 10, 2014 Accepting new patients

Locations

35 Old Tavern Rd
Ste 120
Orange, CT 06477
Phone (203) 553-9949

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358553600000",
    "number": "1073851432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HALL DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772543",
            "telephone_number": "203-767-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773534",
            "telephone_number": "203-767-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MEAGAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008184",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "008184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.