Healthcare Provider Details

I. General information

NPI: 1417883646
Provider Name (Legal Business Name): EMILY SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9362 GRAND CORDERA PKWY STE 100
COLORADO SPRINGS CO
80924-7007
US

IV. Provider business mailing address

9362 GRAND CORDERA PKWY STE 100
COLORADO SPRINGS CO
80924-7007
US

V. Phone/Fax

Practice location:
  • Phone: 719-345-0429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017487
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMSCSW.00000050
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: