Provider Demographics
NPI:1821302332
Name:MACGLAFLIN, SCOTT (MSW)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:MACGLAFLIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 DEER RUN TRL
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-2492
Mailing Address - Country:US
Mailing Address - Phone:860-643-2286
Mailing Address - Fax:
Practice Address - Street 1:175 DEER RUN TRL
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-2492
Practice Address - Country:US
Practice Address - Phone:860-643-2286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker