Provider Demographics
NPI:1609233931
Name:SCOTT, DARLENE (LISW-S)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 ACACIA PARK DR APT 2507
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3868
Mailing Address - Country:US
Mailing Address - Phone:216-376-1494
Mailing Address - Fax:
Practice Address - Street 1:2202 ACACIA PARK DR APT 2507
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-3868
Practice Address - Country:US
Practice Address - Phone:216-376-1494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-18
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1500952-SUPV1041C0700X
OHI.15009521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical