Provider Demographics
NPI:1710236021
Name:SCOTT, DANIELLE S (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:S
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 1:642 SIESTA KEY CIR APT 2832
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-7725
Mailing Address - Country:US
Mailing Address - Phone:561-400-9855
Mailing Address - Fax:
Practice Address - Street 1:642 SIESTA KEY CIR APT 2832
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-7725
Practice Address - Country:US
Practice Address - Phone:561-400-9855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 112861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical