Provider Demographics
NPI:1659615458
Name:MANN, SCOTT C (MSW)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:C
Last Name:MANN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:SCOTT
Other - Middle Name:C
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:563 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2017
Mailing Address - Country:US
Mailing Address - Phone:303-312-9816
Mailing Address - Fax:303-861-2367
Practice Address - Street 1:563 EAST COLFAX
Practice Address - Street 2:2111 CHAMPA STREET
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205
Practice Address - Country:US
Practice Address - Phone:303-312-9816
Practice Address - Fax:303-861-2367
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health