Individual provider Active NPI

Craig Scott, LCSW

  • Mental Health Counselor
  • Jamestown, NY
National Provider Identifier
1962489708
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
064558 Issued in NY
Practice address
51 Glasgow Ave
Jamestown, NY 14701-6413
Phone
(716) 664-8640
Fax
(716) 664-8607
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 064558 NY Primary

Addresses

Primary practice location

51 Glasgow Ave
Jamestown, NY 14701-6413

Mailing address

51 Glasgow Ave
Jamestown, NY 14701-6413
Phone (716) 664-8640

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.m.scott@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060724000166 NY Practitioner - Clinical Social Worker 9234142977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 664-8640

51 Glasgow Ave
Jamestown, NY 14701-6440
Phone (716) 664-8641

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
064558NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Chautauqua at Wca CurrentSince Jul 10, 2002 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Jul 10, 2002 Accepting new patients

Locations

51 Glasgow Ave
Jamestown, NY 14701
Phone (716) 487-0141

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1962489708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GLASGOW AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016413",
            "telephone_number": "716-664-8640",
            "fax_number": "716-664-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GLASGOW AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016413",
            "telephone_number": "716-664-8640",
            "fax_number": "716-664-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CRAIG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "064558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.m.scott@upmcdirect.com",
            "affiliation": "N",
            "address_1": "51 Glasgow Ave",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147016413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.