Individual provider Active NPI

Scott Kerr, MSW, LCSW

  • Clinical Social Worker
  • Prescott, AZ
National Provider Identifier
1265856991
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-13864 Issued in AZ
Practice address
3611 Crossings Dr Ste a
Prescott, AZ 86305-7181
Phone
(928) 232-0168
Fax
(928) 232-0168
NPI assigned
Feb 17, 2014
Last updated
Jan 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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 LCSW-13864 AZ Primary

Addresses

Primary practice location

3611 Crossings Dr Ste a
Prescott, AZ 86305-7181

Mailing address

623 Miller Valley Rd Ste B
Prescott, AZ 86301-2302
Phone (928) 232-0168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731003748 AZ Practitioner - Clinical Social Worker 6305117912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

623 Miller Valley Rd
Suite B
Prescott, AZ 86301-2302
Phone (928) 232-0168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-13864AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services of Arizona CurrentSince Jul 8, 2022 Accepting new patients
Spectrum Healthcare Group, Inc. Clinical Current Accepting new patients
Spectrum Healthcare Group, Inc. Clinical Current Accepting new patients
Spectrum Healthcare Group, Inc CurrentSince Jul 1, 2017 Accepting new patients
Spectrum Healthcare Group, Inc Clinical CurrentSince Jul 1, 2017 Accepting new patients

Locations

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (877) 637-7333

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

4140 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 482-1838

3611 Crossings Dr
Ste A
Prescott, AZ 86305
Phone (928) 232-0168

623 Miller Valley Rd
Ste B
Prescott, AZ 86301
Phone (928) 232-0168

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1265856991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MILLER VALLEY RD STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012302",
            "telephone_number": "928-232-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CROSSINGS DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057181",
            "telephone_number": "928-232-0168",
            "fax_number": "928-232-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-17",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.