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NPI Code Detail

MEDICARE: JENNA MICHELLE SCOTTO ACSW

MEDICARE: JENNA MICHELLE SCOTTO ACSW
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
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor21658CA
3101Y00000XCounselor
41041C0700XClinical Social Worker

General Provider Information

NPI Number : 1407437411
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA MICHELLE SCOTTO ACSW
Provider Business Mailing Address
First Line : 1240 E 17TH ST APT 5
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-2254
Country : US
Telephone Number : 562-206-5083
Fax Number :
Provider Business Practice Location Address
First Line : 5190 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-6510
Country : US
Telephone Number : 562-428-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 12/02/2025

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