MEDICARE: DR. NANCY LEE SCOTT EDD, NCSP, LCPC

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
1	101YP2500X	Professional Counselor		IL
2	103TS0200X	School Psychologist		IL

General Provider Information

NPI Number	:	1679796619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY LEE SCOTT EDD, NCSP, LCPC

Provider Business Mailing Address
First Line	:	14960 W 21ST ST
Second Line	:
City	:	WADSWORTH
State	:	IL
Zip	:	60083-9748
Country	:	US
Telephone Number	:	847-421-8041
Fax Number	:	847-249-0221

Provider Business Practice Location Address
First Line	:	14960 W 21ST ST
Second Line	:
City	:	WADSWORTH
State	:	IL
Zip	:	60083-9748
Country	:	US
Telephone Number	:	847-421-8041
Fax Number	:	847-249-0221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	09/11/2025

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