Provider Demographics
NPI:1568459972
Name:PATRICIA A. SCOTT, LCSW, PA
Entity Type:Organization
Organization Name:PATRICIA A. SCOTT, LCSW, PA
Other - Org Name:ARKANSAS PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-834-2727
Mailing Address - Street 1:2902 E KIEHL AVE
Mailing Address - Street 2:#1A
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3226
Mailing Address - Country:US
Mailing Address - Phone:501-834-2727
Mailing Address - Fax:501-834-2242
Practice Address - Street 1:2902 E KIEHL AVE
Practice Address - Street 2:#1A
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3226
Practice Address - Country:US
Practice Address - Phone:501-834-2727
Practice Address - Fax:501-834-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F300Medicare ID - Type Unspecified