Scott D Church, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-10496 Issued in AZ

Practice address

3200 N Dobson Rd Ste C
Chandler, AZ 85224-9609

Phone

(480) 424-5470

Fax

(480) 347-2684

NPI assigned

Apr 1, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Modern Relationships and Milestones, LLC

  • Clinical Social Worker
  • Chandler, AZ
  • NPI 1184218034
  NPD Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1295078905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 S CLARK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827455",
            "telephone_number": "602-206-0232",
            "fax_number": "480-347-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD STE C",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249609",
            "telephone_number": "480-424-5470",
            "fax_number": "480-347-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Beneduce
• Sean Raymund Colon Chua, PT
• Catherine Ann Chudzinski, NP
• Michael MC Chung, DC
• Susan Chung, M.D.
• Nikole Churchill, NP
• Yuliia Chyrka, BSN, RN
• Ciao Bella Medical Spa & Vein Clinic, P.L.C.
• Marissa Ciaramitaro, PA
• Cigna Health Care of Arizona Inc.

• Clinical Social Worker in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.