Active NPIIndividual provider

Mr. Scott A Shattuck, LICSW

Social Worker, Clinical in Chelsea, Massachusetts

NPI Number1689717415
Practice location
301 Broadway, Chelsea, MA 02150-2807
Fax
617-884-3032
Last updated
July 8, 2007

Scott A Shattuck is a Social Worker, Clinical based in Chelsea, MA. Scott A Shattuck practices in Chelsea, MA and has the professional credentials of LICSW. The NPI Number for Scott A Shattuck is 1689717415 and holds a License No. 1023563 (MA). The current practice location address for Scott A Shattuck is 301 Broadway, Chelsea, MA 02150-2807 and can be reached out via phone at 617-912-7974 and via fax at 617-884-3032.

Provider Profile Details

NPI Number
1689717415
Provider Name
Scott A Shattuck
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
301 Broadway, Chelsea, MA 02150-2807
Phone Number
617-912-7974
Fax Number
617-884-3032
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Broadway
Chelsea, MA 02150-2807
Zip
02150-2807
Phone Number
617-912-7974
Fax Number
617-884-3032
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
130 Melrose St
Melrose, MA 02176-2208
City
Melrose
State
MA
Zip
02176-2208
Phone Number
781-799-1229

License Information

License Number
1023563
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Scott A Shattuck, LICSW?

The NPI number of Mr. Scott A Shattuck, LICSW is 1689717415. It was assigned on February 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Scott A Shattuck, LICSW?

Mr. Scott A Shattuck, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1023563.

Where does Mr. Scott A Shattuck, LICSW practice?

The practice location is 301 Broadway, Chelsea, MA 02150-2807. The office can be reached at 617-912-7974 (phone) or 617-884-3032 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689717415 directly on the NPPES registry website.

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