Provider Demographics
NPI:1154052876
Name:SCOTT, CHANEL MONET (LCSW)
Entity Type:Individual
Prefix:
First Name:CHANEL
Middle Name:MONET
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHANEL
Other - Middle Name:MONET
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:13260 W 65TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2160
Mailing Address - Country:US
Mailing Address - Phone:651-200-7773
Mailing Address - Fax:
Practice Address - Street 1:13260 W 65TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-2160
Practice Address - Country:US
Practice Address - Phone:651-200-7773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099250451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical