Provider Demographics
NPI:1942213145
Name:SCOTT, ROBERT J (LCSW, CAP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 NE 191ST ST STE 702
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3117
Mailing Address - Country:US
Mailing Address - Phone:305-946-1475
Mailing Address - Fax:305-947-6450
Practice Address - Street 1:2999 NE 191ST ST STE 702
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3117
Practice Address - Country:US
Practice Address - Phone:305-946-1475
Practice Address - Fax:305-947-6450
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP1970101YA0400X
FLSW46841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8014ZMedicare ID - Type UnspecifiedMEDICARE ID #