Provider Demographics
NPI:1417740283
Name:SCOTT, CHANCE (LMSW)
Entity type:Individual
Prefix:
First Name:CHANCE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1996 KINGSTON CV
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4987
Mailing Address - Country:US
Mailing Address - Phone:801-368-6054
Mailing Address - Fax:801-368-6054
Practice Address - Street 1:1996 KINGSTON CV
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4987
Practice Address - Country:US
Practice Address - Phone:801-368-6054
Practice Address - Fax:801-368-6054
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10896819-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker