Provider Demographics
NPI:1710864517
Name:SCOTT, KAWANIS DENISE (LSW)
Entity type:Individual
Prefix:
First Name:KAWANIS
Middle Name:DENISE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-1314
Mailing Address - Country:US
Mailing Address - Phone:785-822-4893
Mailing Address - Fax:
Practice Address - Street 1:6797 N HIGH ST STE 325
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2699
Practice Address - Country:US
Practice Address - Phone:740-919-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2512800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker