Provider Demographics
NPI:1942284567
Name:SCOTT, SONDRA L (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:L
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-0043
Mailing Address - Country:US
Mailing Address - Phone:845-849-1958
Mailing Address - Fax:888-972-5017
Practice Address - Street 1:69 NORTH AVE
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-6063
Practice Address - Country:US
Practice Address - Phone:845-505-9975
Practice Address - Fax:888-972-5017
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR058225-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical