Provider Demographics
NPI:1659528628
Name:SCOTT, CHANTELL JOVETT (LMSW)
Entity Type:Individual
Prefix:
First Name:CHANTELL
Middle Name:JOVETT
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8370
Mailing Address - Country:US
Mailing Address - Phone:972-533-0537
Mailing Address - Fax:972-475-1816
Practice Address - Street 1:7518 LAGOON DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-8370
Practice Address - Country:US
Practice Address - Phone:972-533-0537
Practice Address - Fax:972-475-1816
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28452171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator