Provider Demographics
NPI:1437340882
Name:SCOTT, KIMBERLY ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ANN
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 1:36 MILL PLAIN RD
Mailing Address - Street 2:SUITE #205
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-5181
Mailing Address - Country:US
Mailing Address - Phone:203-858-0875
Mailing Address - Fax:203-894-9284
Practice Address - Street 1:36 MILL PLAIN RD
Practice Address - Street 2:SUITE #205
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5181
Practice Address - Country:US
Practice Address - Phone:203-858-0875
Practice Address - Fax:203-894-9284
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2010-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0033721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical