Provider Demographics
NPI:1760269195
Name:SCOTT, JILLIAN (BSW)
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08853-4251
Mailing Address - Country:US
Mailing Address - Phone:908-842-7990
Mailing Address - Fax:
Practice Address - Street 1:968 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08853-4251
Practice Address - Country:US
Practice Address - Phone:908-842-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker