Provider Demographics
NPI:1386486462
Name:SCOTT, ALEXA PEARL (LMSW)
Entity type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:PEARL
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ALEXA
Other - Middle Name:PEARL
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 RIVER RD APT E206
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-1338
Mailing Address - Country:US
Mailing Address - Phone:662-664-2052
Mailing Address - Fax:
Practice Address - Street 1:115 FAIRGROUND RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1283
Practice Address - Country:US
Practice Address - Phone:256-712-2822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6659G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker