Provider Demographics
NPI:1841814878
Name:SCOTT, NIVA D (SOCIAL WORKER)
Entity type:Individual
Prefix:MISS
First Name:NIVA
Middle Name:D
Last Name:SCOTT
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CLAFLIN RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4649
Mailing Address - Country:US
Mailing Address - Phone:617-460-4644
Mailing Address - Fax:
Practice Address - Street 1:40 CLAFLIN RD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4649
Practice Address - Country:US
Practice Address - Phone:617-460-4644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide