Provider Demographics
NPI:1730714684
Name:SCOTT, NECHELLE N
Entity type:Individual
Prefix:
First Name:NECHELLE
Middle Name:N
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4176
Mailing Address - Country:US
Mailing Address - Phone:661-392-7840
Mailing Address - Fax:661-396-2347
Practice Address - Street 1:32549 BETTY JEAN AVE
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:CA
Practice Address - Zip Code:93250-9534
Practice Address - Country:US
Practice Address - Phone:661-392-7840
Practice Address - Fax:661-396-2347
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW973121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical