Provider Demographics
NPI:1760530935
Name:SCOTT, PATRICIA L (LISW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16274 6TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-5806
Mailing Address - Country:US
Mailing Address - Phone:206-361-1314
Mailing Address - Fax:206-361-1249
Practice Address - Street 1:2208 NW MARKET ST STE 314
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4049
Practice Address - Country:US
Practice Address - Phone:206-361-1314
Practice Address - Fax:206-361-1249
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000055531041C0700X
CALCS145131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical