Scott, Meadow Marie

Scott, Meadow Marie is an sole proprietor health care provider with primary practice located at 415 E 23Rd St Suite 205, Fremont NE 68025-2393. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Scott, Meadow Marie can be contacted via phone (402) 995-9989.

Contact Information

Primary practice address
415 E 23Rd St Suite 205 Fremont NE 68025-2393
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2549 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1065 Nebraska
Other Service Providers / Specialist 174400000X 651 Nebraska

Profile Details

NPI number 1659315539
LBN Legal business name Scott, Meadow Marie
Credentials LICSW, LIMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Mar 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659315539 NPPES
Nebraska MEDICAID 10024965800

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