Active NPI
Jason Kurtis Scott, LISW
- Clinical Social Worker
- Fairfield, OH
National Provider Identifier
1548778046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1700688
- Practice address
- 1251 Nilles Rd Ste 5
Fairfield, OH 45014 - Phone
- (513) 939-0300
- Fax
- (513) 939-0310
- NPI assigned
- Jan 18, 2018
- Last updated
- Mar 4, 2019
- Sex
- Male
- 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 | I.1700688 | OH | Primary |
Addresses
Primary practice location
1251 Nilles Rd Ste 5
Fairfield, OH 45014
Mailing address
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300
Other practice location 1
732 Lila Ave
Milford, OH 45150-1609
Phone (859) 358-2952
Other practice location 2
732 Lila Ave
Milford, OH 45150-1609
Phone (859) 358-2952
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1548778046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310"
}
],
"practiceLocations": [
{
"address_1": "732 Lila Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "OH",
"postal_code": "451501609",
"country_code": "US",
"telephone_number": "859-358-2952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "732 Lila Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "OH",
"postal_code": "451501609",
"country_code": "US",
"telephone_number": "859-358-2952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "JASON",
"middle_name": "KURTIS",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-18",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1700688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.