Active NPI
Mary Ann K. Scott, LICSW
- Clinical Social Worker
- Wakefield, RI
National Provider Identifier
1164585907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00233
- Practice address
- 724 Ministerial Rd
Stablewood
Wakefield, RI 02879-4815 - Phone
- (401) 783-4960
- NPI assigned
- Dec 19, 2006
- Last updated
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00233 | RI | Primary |
Addresses
Primary practice location
724 Ministerial Rd
Stablewood
Wakefield, RI 02879-4815
Mailing address
724 Minsterial Rd.
Stablewood
Wakefield, RI 02879
Phone (401) 783-4960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9396-3 | Other | RI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1164585907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 MINSTERIAL RD.",
"address_2": "STABLEWOOD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "02879",
"telephone_number": "401-783-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 MINISTERIAL RD",
"address_2": "STABLEWOOD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794815",
"telephone_number": "401-783-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARY ANN",
"middle_name": "K.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9396-3",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.