Provider Demographics
NPI:1699342816
Name:GAFFNEY, SCOTT (LCSW)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:GAFFNEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2096 LAKE ARIANA BLVD
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-2006
Mailing Address - Country:US
Mailing Address - Phone:863-956-7300
Mailing Address - Fax:
Practice Address - Street 1:2096 LAKE ARIANA BLVD
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-2006
Practice Address - Country:US
Practice Address - Phone:863-956-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW82931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical