Individual provider Active NPI

Wanda R Scott, LCSW-C

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1194892562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11779 Issued in MD
Practice address
1300 Mercantile LN
Suite 139-RR
Largo, MD 20774-5327
Phone
(301) 772-5300
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11779 MD Primary

Addresses

Primary practice location

1300 Mercantile LN
Suite 139-RR
Largo, MD 20774-5327

Mailing address

PO Box 6573
Largo, MD 20792-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Clinical CurrentSince Aug 12, 2017 Accepting new patients
Wellness Reset Solutions LLC Clinical Current Accepting new patients

Locations

1739 9th St NW
Washington, DC 20001

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

1705 Conowingo Rd
Bel Air, MD 21014
Phone (410) 941-0029

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone (410) 561-9497

16010 Annapolis Rd
Bowie, MD 20715
Phone (301) 809-0160

3060 Mitchellville Rd
Ste 106B
Bowie, MD 20716
Phone (410) 838-9500

929 Ingleside Ave
Catonsville, MD 21228

8975 Guilford Rd
Ste 170
Columbia, MD 21046
Phone (443) 453-7727

13611 Laurel Bowie Rd
Laurel, MD 20708
Phone (301) 538-8463

8818 Piney Branch Rd
Silver Spring, MD 20903

14456 Old Mill Rd
Ste 101
Upper Marlboro, MD 20772

2 Post Office Rd
Ste 1A
Waldorf, MD 20602

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194892562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6573",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207926573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 139-RR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-772-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WANDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.