Active NPIIndividual provider

Jacqueline R Scott, LADC, MATS, CCJP

Counselor, Addiction (Substance Use Disorder) in Bridgeport, Connecticut

NPI Number1922580737
Practice location
566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107
Fax
—
Last updated
August 29, 2018

Jacqueline Renee Scott is a Counselor, Addiction (Substance Use Disorder) based in Bridgeport, CT. Jacqueline Renee Scott practices in Bridgeport, CT and has the professional credentials of LADC, MATS, CCJP. The NPI Number for Jacqueline Renee Scott is 1922580737. The current practice location address for Jacqueline Renee Scott is 566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107 and can be reached out via phone at 203-540-9524.

Provider Profile Details

NPI Number
1922580737
Provider Name
Jacqueline Renee Scott
Credential
LADC, MATS, CCJP
Provider Entity Type
Individual
Gender
Female
Address
566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107
Phone Number
203-540-9524
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2018
Last Update Date
August 29, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
566 Wilmot Ave Unit 1
Bridgeport, CT 06607-1107
Zip
06607-1107
Phone Number
203-540-9524
Bridgeport, CT 06607Get directions →

Provider Business Mailing Address Details

Address
566 Wilmot Ave Unit 1
Bridgeport, CT 06607-1107
City
Bridgeport
State
CT
Zip
06607-1107
Phone Number
203-540-9524

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Jacqueline R Scott, LADC, MATS, CCJP?

The NPI number of Jacqueline R Scott, LADC, MATS, CCJP is 1922580737. It was assigned on August 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Jacqueline R Scott, LADC, MATS, CCJP?

Jacqueline R Scott, LADC, MATS, CCJP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Jacqueline R Scott, LADC, MATS, CCJP practice?

The practice location is 566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107. The office can be reached at 203-540-9524 (phone).

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 1922580737 directly on the NPPES registry website.

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