Walter Scott, LSAA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mescalero, NM
NPI 1326589623 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1326589623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0175541 (NM)
- Practice address
- 107 Sunset Loop
Mescalero, NM 88340-0228 - Phone
- (575) 464-4432
- Fax
- (575) 464-4431
- NPI assigned
- Mar 20, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0175541 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mescalero Apache Tribe | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0175541 | NM | Yes |
Addresses
Primary practice location
107 Sunset Loop
Mescalero, NM 88340-0228
Mailing address
PO Box 228
Mescalero, NM 88340-0228
Phone (575) 464-4432
Other providers in Mescalero, NM
- Julian Romero
- Bon J Rush
- Ida L Saenz
- Reyes A Sanchez
- Judy Gutierrez Sarabia
- Loretta R Shanta
- Lenora Shendo
- John Lawrence Sickman
- Joaquin R Silva
- Lee David Simmons Jr.
All providers in Mescalero, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.