MEDICARE: SCOTTNEY HESKETH BSCJ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1124993126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTTNEY HESKETH BSCJ

Provider Business Mailing Address
First Line	:	125 W 2ND AVE STE C
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-5263
Country	:	US
Telephone Number	:	620-794-7011
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 W 2ND AVE STE C
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-5263
Country	:	US
Telephone Number	:	620-794-7011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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Directions to “ SCOTTNEY HESKETH BSCJ” Practice Location

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