Provider Demographics
NPI:1245677384
Name:HALLSCOTT, ADDIE LOUISE (MSW, ACSW, LGSW)
Entity type:Individual
Prefix:MS
First Name:ADDIE
Middle Name:LOUISE
Last Name:HALLSCOTT
Suffix:
Gender:F
Credentials:MSW, ACSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11304 WILDERNESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-8331
Mailing Address - Country:US
Mailing Address - Phone:540-735-4031
Mailing Address - Fax:540-972-0538
Practice Address - Street 1:11304 WILDERNESS PARK DR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22551-8331
Practice Address - Country:US
Practice Address - Phone:540-735-4031
Practice Address - Fax:540-972-0538
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG101668104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker