Provider Demographics
NPI:1639147614
Name:WEST, SCARLETT (LCSW)
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:WEST
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 1:7 W 108TH ST
Mailing Address - Street 2:APT. #5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3349
Mailing Address - Country:US
Mailing Address - Phone:718-794-8512
Mailing Address - Fax:718-794-8269
Practice Address - Street 1:7 W 108TH ST
Practice Address - Street 2:APT. #5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3349
Practice Address - Country:US
Practice Address - Phone:718-794-8512
Practice Address - Fax:718-794-8269
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04298411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical