Timothy David Scott, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114190 Issued in MA

Practice address

111 County Cir
Middlesex House, Room 205
Amherst, MA 01003-9255

Phone

(413) 545-5262

NPI assigned

Nov 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1255737862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "CONWAY",
            "state": "MA",
            "postal_code": "013410052",
            "telephone_number": "413-320-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COUNTY CIR",
            "address_2": "MIDDLESEX HOUSE, ROOM 205",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039255",
            "telephone_number": "413-545-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER",
            "identifier": "114190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Schumm, PH.D.
• Constance Bissell Schwaiger, FNP
• Nora Ethel Schwartz-Martin, M.D.
• Jean A Schwartz, PSY.D.
• Laura Scott
• Anna B Scully, PH.D.
• Isaac Seigel, LICSW
• Catharine S Sena
• Felicia Sevene, LICSW
• Jeremy Seymour

• Clinical Social Worker in Amherst, MA
• Providers in Amherst, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.