Scott, Ellen

Scott, Ellen is an sole proprietor health care provider with primary practice located at 242 Shoreham Village Dr , Fairfield CT 06824-6229. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Scott, Ellen can be contacted via phone (203) 257-4191.

Contact Information

Primary practice address
242 Shoreham Village Dr Fairfield CT 06824-6229
Phone: (203) 257-4191
Fax: (203) 292-3669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004842 Connecticut
Behavioral Health & Social Service Providers / Social Worker 104100000X 004842 Connecticut

Profile Details

NPI number 1356375703
LBN Legal business name Scott, Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jun 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356375703 NPPES
Connecticut Other 140004842CT03 ANTHEM
Connecticut MEDICAID 004258788 ANTHEM
Connecticut Other P3596204 ANTHEM

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