Active NPI
Lucretia Scott, LMSW
- Mental Health Counselor
- Nottingham, MD
National Provider Identifier
1265125686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 29769
- Practice address
- 4425 Fitch Ave Ste 118
Nottingham, MD 21236-3927 - Phone
- (410) 870-2125
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 29769 | MD | Primary |
Addresses
Primary practice location
4425 Fitch Ave Ste 118
Nottingham, MD 21236-3927
Mailing address
3708 Springwood Ave
Baltimore, MD 21206-2423
Phone (443) 224-8851
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29769 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phaze Counseling Services Inc | Current | Accepting new patients |
Locations
4425 Fitch Ave
Ste 118
Nottingham, MD 21236
Phone (410) 870-2125
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nottingham, MD
- NPI 1447861174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1265125686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 SPRINGWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212062423",
"telephone_number": "443-224-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 FITCH AVE STE 118",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212363927",
"telephone_number": "410-870-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "LUCRETIA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "29769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.