Provider Demographics
NPI:1942182720
Name:SCOTT, SHAYNA
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10517 RAYSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-7545
Mailing Address - Country:US
Mailing Address - Phone:814-506-8143
Mailing Address - Fax:
Practice Address - Street 1:10339 POGUE RD
Practice Address - Street 2:
Practice Address - City:THREE SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17264-8537
Practice Address - Country:US
Practice Address - Phone:814-447-5529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW142336104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker