Deborah Scott, LCSW, LICSW

Individual provider Active NPI Clinical Social Worker · Stevenson, WA

NPI 1902184682 · NPPES record last updated Jul 28, 2011

Key facts

NPI
1902184682
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW60147954 (WA)
Practice address
683 SW Rock Creek Dr
Stevenson, WA 98648-4419
Phone
(503) 810-8237
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L4978ORMDClinical Social Worker
LW60147954WAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60147954 WA Yes
Clinical Social Worker 1041C0700X L4978 OR

Addresses

Primary practice location

683 SW Rock Creek Dr
Stevenson, WA 98648-4419

Mailing address

PO Box 255
Stevenson, WA 98648-0255
Phone (503) 810-8237

Other providers in Stevenson, WA

All providers in Stevenson, WA · Clinical Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.