Winfred Scott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-35597 Issued in ID

Practice address

25 Miracle LN
Garden Valley, ID 83622-8362

Phone

(208) 462-3074

NPI assigned

May 3, 2016

Sex

Male

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

Practice roles

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.

• Project Patch

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Garden Valley, ID
  • NPI 1457681736
  NPD (past)
• State of Idaho

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1790131027
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1932554375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MIRACLE LN",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836227164",
            "telephone_number": "208-794-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIRACLE LN",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836228362",
            "telephone_number": "208-462-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WINFRED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Michael Riz, PA-C
• Stephanie Ross
• Stanley Stephen Sanders II, LMSW
• Naylen Nicole Schenone
• Scott Carter, Inc
• Marion Summers
• Hallie Lynn Toews, PA-C
• Asher Bela Van Dyk

• Clinical Social Worker in Garden Valley, ID
• Providers in Garden Valley, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.