Provider Demographics
NPI:1447607601
Name:ZOTTO, SCOTT (LMSW)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:ZOTTO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MARWOOD RD N
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1441
Mailing Address - Country:US
Mailing Address - Phone:516-658-0231
Mailing Address - Fax:
Practice Address - Street 1:3412 36TH ST
Practice Address - Street 2:SUITE 3/201
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-1200
Practice Address - Country:US
Practice Address - Phone:516-658-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0830881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical