MEDICARE: MICHELLE SCOTT LCSW-R

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	1041C0700X	Clinical Social Worker	070254	NY

General Provider Information

NPI Number	:	1245180736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SCOTT LCSW-R

Provider Business Mailing Address
First Line	:	17 HENRY BEACH DR
Second Line	:
City	:	CAMILLUS
State	:	NY
Zip	:	13031-1643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 HENRY BEACH DR
Second Line	:
City	:	CAMILLUS
State	:	NY
Zip	:	13031-1643
Country	:	US
Telephone Number	:	315-751-7547
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

Similar Medicare Providers

1255589909 — MRS. HEATHER K HENDERSON NURSE PRACTITIONER
Practice Location Address:

5016 W GENESEE ST
CAMILLUS, NY
13031-2356

Practice Phone: 315-496-1020
Practice Fax: 315-226-7236

1205768033 — KAITLYN MARIE JAEGER
Practice Location Address:

2555 HAMBLETONIAN WAY
CAMILLUS, NY
13031-8640

Practice Phone: 315-227-2555
Practice Fax:

1003819053 — THOMAS J LACLAIR MD
Practice Location Address:

436 HINSDALE RD
CAMILLUS, NY
13031-1648

Practice Phone: 315-488-0996
Practice Fax: 315-488-1955

1114920287 — DAVID THURBER PAGE MD
Practice Location Address:

436 HINSDALE RD
CAMILLUS, NY
13031-1648

Practice Phone: 315-488-0996
Practice Fax: 315-488-1955

1639172414 — STEVEN M CONNOLLY MD
Practice Location Address:

436 HINSDALE RD
CAMILLUS, NY
13031-1648

Practice Phone: 315-488-0996
Practice Fax: 315-488-1955

1134122096 — MARK S POTENZA MD
Practice Location Address:

5700 W GENESEE ST , STE 132
CAMILLUS, NY
13031-3212

Practice Phone: 315-487-5858
Practice Fax: 315-487-1950

Directions to “ MICHELLE SCOTT LCSW-R” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.