Provider Demographics
NPI:1992991145
Name:SCOTT, CARMEN MARIE (LMSW-IPR)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-7953
Mailing Address - Country:US
Mailing Address - Phone:956-351-0509
Mailing Address - Fax:956-467-1258
Practice Address - Street 1:1801 SUNRISE LN
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-7953
Practice Address - Country:US
Practice Address - Phone:956-351-0509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66728171M00000X
TX35707104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker