MEDICARE: AMBER DIONNE SCOTT LCSW

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	61732	TX

General Provider Information

NPI Number	:	1649020512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER DIONNE SCOTT LCSW

Provider Business Mailing Address
First Line	:	1380 PANTHEON WAY STE 225280
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-2288
Country	:	US
Telephone Number	:	210-701-0706
Fax Number	:

Provider Business Practice Location Address
First Line	:	11153 WESTWOOD LOOP STE 118&119
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6533
Country	:	US
Telephone Number	:	210-701-0706
Fax Number	:

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

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	04/17/2026

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