Provider Demographics
NPI:1124832993
Name:SCOTT, HEATHER GISELLE (LMSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:GISELLE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:GISELLE
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1103 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-8242
Mailing Address - Country:US
Mailing Address - Phone:347-645-8642
Mailing Address - Fax:
Practice Address - Street 1:930 IOWA ST STE 4
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1869
Practice Address - Country:US
Practice Address - Phone:785-289-9917
Practice Address - Fax:316-226-8648
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10562104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker