Provider Demographics
NPI:1851012462
Name:SCOTT, EMILY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8262 WELLINGTON PL
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-8903
Mailing Address - Country:US
Mailing Address - Phone:410-404-8109
Mailing Address - Fax:
Practice Address - Street 1:3300 N RIDGE RD STE 230
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3387
Practice Address - Country:US
Practice Address - Phone:410-750-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical