Provider Demographics
NPI:1619647278
Name:SCOTT, EMILY A (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:A
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 1:7108 E LOWRY BLVD APT 3149
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7054
Mailing Address - Country:US
Mailing Address - Phone:516-241-4169
Mailing Address - Fax:
Practice Address - Street 1:7108 E LOWRY BLVD APT 3149
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7054
Practice Address - Country:US
Practice Address - Phone:516-241-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099277181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCSW.09927718OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES