Provider Demographics
NPI:1598170284
Name:SCOTT, DUSTIN (BSW)
Entity Type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 OGDEN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1964
Mailing Address - Country:US
Mailing Address - Phone:206-779-0423
Mailing Address - Fax:
Practice Address - Street 1:1324 OGDEN ST APT 1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1964
Practice Address - Country:US
Practice Address - Phone:206-779-0423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-22
Last Update Date:2014-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator