Healthcare Provider Details

I. General information

NPI: 1811803950
Provider Name (Legal Business Name): TAMMY JANE SCOTT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMMY JANE BISE, WOODWORTH

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5824 MISTY SPRINGS WAY
COLUMBIA MO
65202-4276
US

IV. Provider business mailing address

5824 MISTY SPRINGS WAY
COLUMBIA MO
65202-4276
US

V. Phone/Fax

Practice location:
  • Phone: 660-441-5310
  • Fax:
Mailing address:
  • Phone: 660-441-5310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2023021792
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: