Traci Lynn Scott, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851117126 Issued in MI

Practice address

700 Washington Ave Ste 200
Grand Haven, MI 49417-1462

Phone

(616) 842-6710

Fax

(616) 842-1103

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1558042697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710",
            "fax_number": "616-842-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 200",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710",
            "fax_number": "616-842-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Century Ln",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234286",
            "country_code": "US",
            "telephone_number": "616-396-5284",
            "fax_number": "616-396-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Alan Schoeck, M.D.
• Erica Schuitema, RBT
• Kaytlin Jessica Schweda, LMSW
• Rachael Joymarie Scoby, SLP
• Rachel Scott, NP
• Lesa Marie Seales, D.C.
• William P Seiler, PT, DPT, OCS
• Semlow Peak Performance Chiropractic
• Kirk Justin Semlow, DC
• Sensational Steps Therapy, Inc

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.