Mattie Diann Towns-Scott, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901578 Issued in OH

Practice address

5845 Robertdale Road
Oakwood Village, OH 44146-2549

Phone

(216) 224-7080

Fax

(440) 439-4548

NPI assigned

Feb 13, 2017

Last updated

Jun 25, 2023By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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.

• Emerging Hope Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Oakwood Village, OH
  • NPI 1033862875
  Authorized official Same address or phone

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1285173005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 ROBERTDALE ROAD",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441462549",
            "telephone_number": "216-224-7080",
            "fax_number": "440-439-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 ROBERTDALE ROAD",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441462549",
            "telephone_number": "216-224-7080",
            "fax_number": "440-439-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNS-SCOTT",
        "first_name": "MATTIE",
        "middle_name": "DIANN",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
            "identifier": "LICDC.162056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Thomas
• Ronda Cherie' Thorpe
• Danita Yvonne Tompkins, LPN
• Linda Torbert, LISW-S
• Total Care Residential Treatment LLC
• Jennifer Hau Van, PHARMD
• Zissis Vesoulis, MD
• W-HCG Wright - Health Care Group Corp.
• Dwayne Waldon
• Alexsis S Walker

• Clinical Social Worker in Oakwood Village, OH
• Providers in Oakwood Village, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.