Provider Demographics
NPI:1104965540
Name:SCOTT, DELPHINE MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DELPHINE
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 GRANDE CIR APT 57
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-4249
Mailing Address - Country:US
Mailing Address - Phone:707-428-0331
Mailing Address - Fax:707-425-8010
Practice Address - Street 1:2200 NAPA VALLEJO HIGHWAY
Practice Address - Street 2:NAPA STATE HOSPITAL
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:707-253-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS164461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical