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NPI Code Detail

MEDICARE: JENNIFER A SCOTT MSW, LCSW

MEDICARE: JENNIFER A SCOTT MSW, 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
1104100000XSocial Worker7616-123WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740424753
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A SCOTT MSW, LCSW
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE # MS 958
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 414-266-7615
Fax Number : 414-266-6238
Provider Business Practice Location Address
First Line : 7950 N PORT WASHINGTON RD
Second Line :
City : FOX POINT
State : WI
Zip : 53217-3131
Country : US
Telephone Number : 414-253-1194
Fax Number : 414-540-1065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2009
Last Update Date : 10/05/2021

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