Provider Demographics
NPI:1568922011
Name:SCOTT, SHALONDA KAY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHALONDA
Middle Name:KAY
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHALONDA
Other - Middle Name:KAY
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:8650 SOUTHWESTERN BLVD APT 3814
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8215
Mailing Address - Country:US
Mailing Address - Phone:214-683-5535
Mailing Address - Fax:
Practice Address - Street 1:8650 SOUTHWESTERN BLVD APT 3814
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-8215
Practice Address - Country:US
Practice Address - Phone:214-683-5535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-21
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX622941041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical