Provider Demographics
NPI:1245911445
Name:BEHRENS, SCOTT RYAN (MSW, LSW)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:RYAN
Last Name:BEHRENS
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 W CHOCOLATE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1632
Mailing Address - Country:US
Mailing Address - Phone:717-810-1974
Mailing Address - Fax:717-704-8476
Practice Address - Street 1:1725 OREGON PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4206
Practice Address - Country:US
Practice Address - Phone:717-810-1974
Practice Address - Fax:717-704-8476
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140483101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health