Active NPI
Autumn Nicole Scott, LCSW
- Clinical Social Worker
- Palmdale, CA
National Provider Identifier
1982908505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64414
- Practice address
- 2323A E Palmdale Blvd
Palmdale, CA 93550-4957 - Phone
- (213) 259-4184
- NPI assigned
- Dec 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 27925 | CA | |
| Mental Health Counselor | 101YM0800X | 64414 | CA | |
| Clinical Social Worker | 1041C0700X | 64414 | CA | Primary |
Addresses
Primary practice location
2323A E Palmdale Blvd
Palmdale, CA 93550-4957
Mailing address
3025 Ontario CT
Rosamond, CA 93560-7602
Phone (310) 748-6401
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27925 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1982908505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 ONTARIO CT",
"city": "ROSAMOND",
"state": "CA",
"postal_code": "935607602",
"telephone_number": "310-748-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323A E PALMDALE BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504957",
"telephone_number": "213-259-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "AUTUMN",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-23",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "27925",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "64414",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "64414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.