Provider Demographics
NPI:1467677534
Name:OPPER, SCOTT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:OPPER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 FLATBUSH AVE
Mailing Address - Street 2:2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2853
Mailing Address - Country:US
Mailing Address - Phone:917-376-0155
Mailing Address - Fax:
Practice Address - Street 1:1463 FLATBUSH AVE
Practice Address - Street 2:FATC CATHOLIC CHARITIES
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2428
Practice Address - Country:US
Practice Address - Phone:718-951-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP0663021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical