Active NPI
Kathryn Susanne Scott, MSW, LICSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1306305289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60547187
- Practice address
- Attn: Kathryn Scott, V3Cnh
1601 E. Fourth Plain Blvd.
Vancouver, WA 98661 - Phone
- (360) 696-4061
- Fax
- (360) 690-0343
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60547187 | WA | Primary |
Addresses
Primary practice location
Attn: Kathryn Scott, V3Cnh
1601 E. Fourth Plain Blvd.
Vancouver, WA 98661
Mailing address
Attn: Kathryn Scott, V3Cnh
1601 E. Fourth Plain Blvd.
Vancouver, WA 98661
Phone (360) 696-4061
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 |
|---|---|---|---|
| LW60547187 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1306305289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ATTN: KATHRYN SCOTT, V3CNH",
"address_2": "1601 E. FOURTH PLAIN BLVD.",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-696-4061",
"fax_number": "360-690-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATTN: KATHRYN SCOTT, V3CNH",
"address_2": "1601 E. FOURTH PLAIN BLVD.",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-696-4061",
"fax_number": "360-690-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KATHRYN",
"middle_name": "SUSANNE",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60547187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.