Provider Demographics
NPI:1679737019
Name:RHIEN, SCOTT PAUL (LISW)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:PAUL
Last Name:RHIEN
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 SUNDOWN RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-8610
Mailing Address - Country:US
Mailing Address - Phone:505-609-6461
Mailing Address - Fax:
Practice Address - Street 1:925 CANNERY CT STE A
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-4058
Practice Address - Country:US
Practice Address - Phone:505-327-6123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-40551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical