Provider Demographics
NPI:1730510702
Name:LAFORTE-SCOTT, TERESA KATHELEEN (MSW)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:KATHELEEN
Last Name:LAFORTE-SCOTT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14870 310 RD
Mailing Address - Street 2:
Mailing Address - City:NEODESHA
Mailing Address - State:KS
Mailing Address - Zip Code:66757-1856
Mailing Address - Country:US
Mailing Address - Phone:620-205-6622
Mailing Address - Fax:888-959-9375
Practice Address - Street 1:14870 310 RD
Practice Address - Street 2:
Practice Address - City:NEODESHA
Practice Address - State:KS
Practice Address - Zip Code:66757-1856
Practice Address - Country:US
Practice Address - Phone:620-205-6622
Practice Address - Fax:888-959-9375
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201073740AOtherKMAP ID#