Provider Demographics
NPI:1548482615
Name:SCOTT, ANNETTE LILLIAN (BA)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:LILLIAN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3620 BOWERS AVE APT D
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6967
Mailing Address - Country:US
Mailing Address - Phone:443-939-4545
Mailing Address - Fax:410-764-9114
Practice Address - Street 1:4201 PRIMROSE AVE
Practice Address - Street 2:PEOPLE ENCOURAGING PEOPLE, INC.
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3305
Practice Address - Country:US
Practice Address - Phone:410-764-8560
Practice Address - Fax:410-764-9114
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1629218326OtherMARYLAND MEDICARE ASSISTANCE
MD4172663 00Medicaid
MD1629218326Medicare NSC