Nikole Scott LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NIKOLE SCOTT LLC

Practice address

32541 Bertram Dr
Westland, MI 48185-1520

Phone

(734) 716-8461

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nikole Agnes Scott, DSW, LMSW, CACGSNPI 1184192387

Title

Licensed Master Social Worker

Phone

(734) 716-8461

Specialties & licenses 1

Addresses

Other names 1

• My Time to Heal Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikole Scott, LMSW

  • Clinical Social Worker
  • Westland, MI
  • NPI 1184192387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1104500461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32541 BERTRAM DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851520",
            "telephone_number": "734-716-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32541 BERTRAM DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851520",
            "telephone_number": "734-716-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOLE SCOTT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
        "authorized_official_telephone_number": "734-716-8461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LMSW, CACGS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Time to Heal Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Time to Heal Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Westland, MI
• Providers in Westland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.