Provider Demographics
NPI:1528680170
Name:SCOTT, RAMONITA ANCIANI (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RAMONITA
Middle Name:ANCIANI
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RAMONITA
Other - Middle Name:
Other - Last Name:ANCIANI-CRESPO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4980 LAKE VALENCIA BLVD W
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3929
Mailing Address - Country:US
Mailing Address - Phone:315-767-0869
Mailing Address - Fax:727-784-3780
Practice Address - Street 1:7421 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6935
Practice Address - Country:US
Practice Address - Phone:727-846-8401
Practice Address - Fax:800-319-6449
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW169371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA