Scott, Timothy David

Scott, Timothy David is an sole proprietor health care provider with primary practice located at 111 County Cir Middlesex House, Room 205, Amherst MA 01003-9255. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Scott, Timothy David can be contacted via phone (413) 545-5262.

Contact Information

Primary practice address
111 County Cir Middlesex House, Room 205 Amherst MA 01003-9255
Phone: (413) 545-5262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114190 Massachusetts

Profile Details

NPI number 1255737862
LBN Legal business name Scott, Timothy David
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2014
Last updated Nov 10th, 2014 - about 12 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 1255737862 NPPES
Massachusetts Other 114190 LICENSED INDEPENDENT CLINICAL SOCIAL WORKER

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