Provider Demographics
NPI:1184030405
Name:SCOTT, NATALIA (LCSWA)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:HAWTHORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5024 RED POLL DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-9793
Mailing Address - Country:US
Mailing Address - Phone:336-646-2006
Mailing Address - Fax:
Practice Address - Street 1:301 N ELM ST STE 510
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2189
Practice Address - Country:US
Practice Address - Phone:336-275-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NCP0144801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC000043938534OtherDRIVERS LICENSE