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MR. SCOTT L SELF LICDC, S.A.P.
NPI 1730520917
Counselor - Addiction (Substance Use Disorder) in Wooster, OH

Active since July 16, 2013
2587 BACK ORRVILLE RD, WOOSTER, OH 44691(330) 264-9597(330) 264-0946 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Scott L Self Licdc, S.a.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOTT L SELF LICDC, S.A.P. (NPI 1730520917) is an individual addiction (substance use disorder) provider in Wooster, Ohio, licensed in Ohio (ICDC943853-CS) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1730520917
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SCOTT L SELFCredential: LICDC, S.A.P.
Location Address2587 BACK ORRVILLE RDWooster, OH 44691-9523
Mailing Address2587 Back Orrville RdWooster, OH 44691-9523 · (330) 264-9597 · Fax (330) 264-0946
Phone(330) 264-9597
Fax(330) 264-0946
Sole ProprietorNo
Enumeration DateJuly 16, 2013
✔ NPI 1730520917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · ICDC943853-CS
2587 BACK ORRVILLE RD, Wooster, OH 44691
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH N MESSNER MA, LPCC-S
Counselor (Professional)
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
JAMIE L SHAW BA QMHS
Social Worker
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
KRISTINA M PETTORINI BA, QMHS
Case Manager/Care Coordinator
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
CHRISTOPHER CLYDE
Counselor
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-7597
SARAH CHRISTINE GONZALES
Case Manager/Care Coordinator
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
JADE HARRIS QMHS
Social Worker
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
ANAZAO COMMUNITY PARTNERS
Community/Behavioral Health
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
MRS. K. MICHELLE KELLY LSW, LPCC
Counselor (Professional)
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Self's NPI number?

The NPI number for Scott Self is 1730520917. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Scott Self located?

Scott Self practices at 2587 Back Orrville Rd, Wooster, OH 44691. The listed phone number is (330) 264-9597.

What is Scott Self's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Self was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.