Healthcare Provider Details

I. General information

NPI: 1649109273
Provider Name (Legal Business Name): DENNA SCOTT ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 W ROBINHOOD DR STE B1
STOCKTON CA
95207-5518
US

IV. Provider business mailing address

614 GRAND AVE STE 203
OAKLAND CA
94610-3554
US

V. Phone/Fax

Practice location:
  • Phone: 209-565-4476
  • Fax: 888-690-5344
Mailing address:
  • Phone: 209-565-4476
  • Fax: 888-690-5344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number122177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: