Healthcare Provider Details

I. General information

NPI: 1144706961
Provider Name (Legal Business Name): KAWREN KALAYA SCOTT LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2018
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2453 MARYLAND AVE BALTIMORE MD 2121
BALTIMORE MD
21218-5018
US

IV. Provider business mailing address

2453 MARYLAND AVE
BALTIMORE MD
21218-5018
US

V. Phone/Fax

Practice location:
  • Phone: 410-297-1065
  • Fax:
Mailing address:
  • Phone: 410-297-1065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25990
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109511
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: