MEDICARE: MS. JENNIFER ANNE SCOTT MSW

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	SC60847755	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518439082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER ANNE SCOTT MSW

Provider Business Mailing Address
First Line	:	9725 3RD AVE NE STE 300
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2030
Country	:	US
Telephone Number	:	206-461-3210
Fax Number	:	206-461-0171

Provider Business Practice Location Address
First Line	:	9725 3RD AVE NE STE 300
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2030
Country	:	US
Telephone Number	:	206-461-3210
Fax Number	:	206-461-0171

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

Provider Enumeration Date	:	12/21/2018
Last Update Date	:	12/21/2018

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