Provider Demographics
NPI:1477919462
Name:SCOTT, MARGARET (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
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 1:723 RIVERSIDE ST
Mailing Address - Street 2:UNIT 114
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-5916
Mailing Address - Country:US
Mailing Address - Phone:603-892-9977
Mailing Address - Fax:
Practice Address - Street 1:723 RIVERSIDE ST
Practice Address - Street 2:UNIT 114
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-5916
Practice Address - Country:US
Practice Address - Phone:603-892-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC159651041C0700X
MELC172491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical