Active NPI
Mark James Scott, C.S.W.
- Social Worker
- Provo, UT
National Provider Identifier
1992915748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6217878-3502
- Practice address
- 1300 E Center St
Provo, UT 84606-3554 - Phone
- (801) 344-4400
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6217878-3502 | UT | Primary |
Addresses
Primary practice location
1300 E Center St
Provo, UT 84606-3554
Mailing address
1351 N 2540 W
Provo, UT 84601-8286
Phone (801) 375-7413
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 |
|---|---|---|---|
| 6217878-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992915748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 N 2540 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846018286",
"telephone_number": "801-375-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E CENTER ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846063554",
"telephone_number": "801-344-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARK",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "6217878-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.