Provider Demographics
NPI:1114805306
Name:SCOTT, SHAMARAIN OLYNN (DSW, LSW)
Entity type:Individual
Prefix:DR
First Name:SHAMARAIN
Middle Name:OLYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 TUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-3644
Mailing Address - Country:US
Mailing Address - Phone:334-524-9820
Mailing Address - Fax:
Practice Address - Street 1:1034 TUCKER AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-3644
Practice Address - Country:US
Practice Address - Phone:334-524-9820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2310174101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty