Individual provider Active NPI

Christopher A. Scott, LCSW

  • Clinical Social Worker
  • East Chatham, NY
National Provider Identifier
1790808384
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0705531 Issued in NY
Practice address
238 Kelly Rd
East Chatham, NY 12060-2104
Phone
(917) 747-5635
Fax
(518) 719-2620
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 0705531 NY Primary

Addresses

Primary practice location

238 Kelly Rd
East Chatham, NY 12060-2104

Mailing address

PO Box 219
East Chatham, NY 12060-0219
Phone (917) 747-5635

Other practice location 1

280 Madison Ave Rm 1108
New York, NY 10016-0815
Phone (802) 349-7455

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0705531NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Village Counsleing Licensed Clinical Social Work Services PLLC Clinical CurrentSince Mar 17, 2024 Accepting new patients
Village Counseling Center Clinical CurrentSince Mar 17, 2024 Accepting new patients
NPI 1942425111 Clinical Current Accepting new patients

Locations

280 Madison Ave
Rm 1108
New York, NY 10016
Phone (212) 308-5363

915 Broadway
Ste 1200
New York, NY 10010
Phone (212) 228-4002

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1790808384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "EAST CHATHAM",
            "state": "NY",
            "postal_code": "120600219",
            "telephone_number": "917-747-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 KELLY RD",
            "city": "EAST CHATHAM",
            "state": "NY",
            "postal_code": "120602104",
            "telephone_number": "917-747-5635",
            "fax_number": "518-719-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Madison Ave Rm 1108",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160815",
            "country_code": "US",
            "telephone_number": "802-349-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHRISTOPHER",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0705531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chatham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.