Provider Demographics
NPI:1982318648
Name:SCOTT, WYSONDA VICTORIA (LCSW-S)
Entity type:Individual
Prefix:MRS
First Name:WYSONDA
Middle Name:VICTORIA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:MS
Other - First Name:WYSONDA
Other - Middle Name:VICTORIA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-S
Mailing Address - Street 1:8021 N FM 620 RD APT 836
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-4564
Mailing Address - Country:US
Mailing Address - Phone:254-541-5971
Mailing Address - Fax:
Practice Address - Street 1:4900 MUELLER BLVD STE 3S.021
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3051
Practice Address - Country:US
Practice Address - Phone:512-324-0000
Practice Address - Fax:512-324-0183
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX629601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical