Provider Demographics
NPI:1417560939
Name:SCOTT, YOLANDA E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:E
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 CLUBGREEN SMT
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-3928
Mailing Address - Country:US
Mailing Address - Phone:404-788-1698
Mailing Address - Fax:
Practice Address - Street 1:4925 CLUBGREEN SMT
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-3928
Practice Address - Country:US
Practice Address - Phone:404-788-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA111241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical