Jean Dianne Scott, LCSW, RN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000414 Issued in NC

Practice address

1129 Horseshoe Road
Albemarle Counseling Group
Elizabeth City, NC 27909-8507

Phone

(252) 335-2018

Fax

(252) 335-9521

NPI assigned

Jan 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1124006937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 HORSESHOE ROAD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098507",
            "telephone_number": "252-335-2018",
            "fax_number": "252-335-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HORSESHOE ROAD",
            "address_2": "ALBEMARLE COUNSELING GROUP",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098507",
            "telephone_number": "252-335-2018",
            "fax_number": "252-335-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JEAN",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000414",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "060005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Louis Schmitt, D.O.
• Jane F Schneider, CRNA
• Paul Robert Schuellein, MD
• Scott C Blanchard DDS PA
• Scott C Blanchard, DDS, PA
• Kerry Anne Scott, PA
• Breanne Williams Scribner, PHARMD
• Seeking Out Serendipity Counseling Services
• Select Physical Therapy
• Select Physical Therapy Holdings Inc

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.