Provider Demographics
NPI:1235267873
Name:SCOTT, CHRISTINA B (LISW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:B
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5310 E MAIN ST
Mailing Address - Street 2:STE 102
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2598
Mailing Address - Country:US
Mailing Address - Phone:614-355-8000
Mailing Address - Fax:614-355-8018
Practice Address - Street 1:1329 CHERRY WAY DR
Practice Address - Street 2:STE 605
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6777
Practice Address - Country:US
Practice Address - Phone:614-751-1090
Practice Address - Fax:614-751-1091
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHI54621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicare UPIN