Walton, Scott Matthew

Walton, Scott Matthew is an individual health care provider with primary practice located at 902 Bonner Dr , Jamestown NC 27282-8948. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walton, Scott Matthew can be contacted via phone (336) 889-6105.

Contact Information

Primary practice address
902 Bonner Dr Jamestown NC 27282-8948
Phone: (336) 889-6105
Fax: (336) 387-9167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005126 North Carolina

Profile Details

NPI number 1720147937
LBN Legal business name Walton, Scott Matthew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Feb 17th, 2009 - about 15 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 1720147937 NPPES
North Carolina Other 144PO BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6106308 BLUE CROSS BLUE SHIELD

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