Jacquelyn R Scott

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.112519 Issued in IL

Practice address

8690 Broadway Ste a
Merrillville, IN 46410-7034

Phone

(219) 750-9600

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Superpsyched, LLC

  • Speech-Language Pathologist
  • Merrillville, IN
  • NPI 1447923321
  NPD

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1679361034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 53RD AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101537",
            "telephone_number": "219-484-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-750-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JACQUELYN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.112519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric F Schulte, MD
• Jessica Owen Schumacher, MA, BCBA
• Hannah Schuster
• Joseph F Schwartz, M.D.
• Rachel Schweighardt, PTA
• Jasmine Scott
• Kenneth James Scott, RN, FNP
• T'Nazja Scott
• Shenley M Seabrook, LMHC, BCBA
• Secure Dental IX LLC

• Social Worker in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.