Provider Demographics
NPI:1033652391
Name:BAKER-SCOTT, LENA (LCSW)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:BAKER-SCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1324
Mailing Address - Country:US
Mailing Address - Phone:757-570-5312
Mailing Address - Fax:
Practice Address - Street 1:15 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1324
Practice Address - Country:US
Practice Address - Phone:757-570-5312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710101607101YA0400X
VA09040096701041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA13953971OtherCAQH
VAQ59697C284OtherPTAN
VAQ46363C284OtherPTAN
VA008936358Medicaid
VA4949830Medicaid