| Doctor Name: | MR. SCOTT A CHRISTNELLY |
| NPI Number: | 1033301916 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 074934-1 |
| Business Practice Address: | 3128 41st St Astoria, NY - 111033902 |
| Business Phone Number: | 7187392525 |
| Business Fax Number: | 7187392552 |
| Mailing Address: | 2331 29th St Apt 2j, ASTORIA |
| State: | NY |
| Postal Code: | 111052817 |
| Phone Number: | 7186260519 |
| Fax Number: | 7187392525 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 08/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 074934-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |