Individual provider Active NPI

Jennifer Janet Scott, ACSW

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1174578686
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000413 Issued in NC
Practice address
512 North Grove St.
Suite 103
Hendersonville, NC 28792-4471
Phone
(828) 696-9999
Fax
(828) 696-2649
NPI assigned
May 23, 2006
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NCCCSWC000413 NC
Clinical Social Worker 1041C0700X C000413 NC Primary

Addresses

Primary practice location

512 North Grove St.
Suite 103
Hendersonville, NC 28792-4471

Mailing address

512 North Grove St.
Suite 103
Hendersonville, NC 28792-4471
Phone (828) 696-9999

Other identifiers 3

IdentifierTypeStateIssuer
6007231MedicaidNC
75029OtherNCBCBS
143771OtherVALUE OPTIONS

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

State licenses

LicenseStateTypeSpecialty
NCCCSWC000413NCMDSocial Worker
C000413NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1174578686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NORTH GROVE ST.",
            "address_2": "SUITE 103",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924471",
            "telephone_number": "828-696-9999",
            "fax_number": "828-696-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NORTH GROVE ST.",
            "address_2": "SUITE 103",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924471",
            "telephone_number": "828-696-9999",
            "fax_number": "828-696-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENNIFER",
        "middle_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "NCCCSWC000413",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007231",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75029",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "143771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.