Individual provider Active NPI

Michelle Grant Scott, MSW, LISW-CP

  • Clinical Social Worker
  • Clemson, SC
National Provider Identifier
1467677708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8584 Issued in SC
Practice address
398 College Ave
Clemson, SC 29631-1432
Phone
(864) 653-4112
Fax
(864) 653-4129
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8584 SC Primary

Addresses

Primary practice location

398 College Ave
Clemson, SC 29631-1432

Mailing address

2208 Concord Rd
Anderson, SC 29621-3542
Phone (864) 653-4112

Other identifiers 1

IdentifierTypeStateIssuer
266209OtherSCPROVIDER ID FOR COMPSYCH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8584SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Counseling Center of Greensboro, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467677708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 CONCORD RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213542",
            "telephone_number": "864-653-4112",
            "fax_number": "864-653-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311432",
            "telephone_number": "864-653-4112",
            "fax_number": "864-653-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MICHELLE",
        "middle_name": "GRANT",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID FOR COMPSYCH",
            "identifier": "266209",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.