Individual provider Active NPI

Diane E Scott, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1609188317
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992899 Issued in CO
Practice address
6655 First Park Ten Blvd
Ste 222
San Antonio, TX 78213-4308
Phone
(210) 496-2323
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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 992899 CO Primary

Addresses

Primary practice location

6655 First Park Ten Blvd
Ste 222
San Antonio, TX 78213-4308

Mailing address

835 Golden Hills Rd
Colorado Springs, CO 80919-8155
Phone (719) 393-3922

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
992899COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uch-MHS Past Accepting new patients
Jason Martin Medical Consulting LLC Past Accepting new patients

Organizations & group practices 2

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1609188317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 GOLDEN HILLS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809198155",
            "telephone_number": "719-393-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 FIRST PARK TEN BLVD",
            "address_2": "STE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134308",
            "telephone_number": "210-496-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DIANE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.