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NPI Code Detail

MEDICARE: CATHY ANN SCOTT MSW, ACSW, LCSW

MEDICARE:   CATHY ANN SCOTT  MSW, ACSW, 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
11041C0700XClinical Social Worker34000313AIN

General Provider Information

NPI Number : 1306035878
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY ANN SCOTT MSW, ACSW, LCSW
Provider Business Mailing Address
First Line : 1050 WISHARD BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2872
Country : US
Telephone Number : 317-630-2590
Fax Number : 317-656-4188
Provider Business Practice Location Address
First Line : 1050 WISHARD BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2872
Country : US
Telephone Number : 317-630-2590
Fax Number : 317-656-4188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2007
Last Update Date : 10/19/2007

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Directions to “ CATHY ANN SCOTT MSW, ACSW, LCSW” Practice Location

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