Individual
CAROLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Mailing address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000353
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11539150
CAQH
—
05
—
496890609
—
MO
Enumeration date
02/02/2006
Last updated
10/13/2014
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