Provider Demographics
NPI:1487714341
Name:WHIPPLE, SCOTT A (LCSW, ACSW)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:A
Last Name:WHIPPLE
Suffix:
Gender:M
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5281 DOGWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2745
Mailing Address - Country:US
Mailing Address - Phone:917-570-0053
Mailing Address - Fax:
Practice Address - Street 1:5281 DOGWOOD TRL
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2745
Practice Address - Country:US
Practice Address - Phone:917-570-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0752141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical