SCOTT CHRISTIAN PAULSON (LCSW) – Clinical Social Worker, NPI 1083934558

SCOTT CHRISTIAN PAULSON (LCSW) is a healthcare provider. based in Fort worth, Texas. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 14894 (TX). The NPI Number for SCOTT CHRISTIAN PAULSON (LCSW) is 1083934558

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT CHRISTIAN PAULSON (LCSW)
NPI
1083934558
Phone
(817) 569-4300
Address
PO BOX 2603
Enumeration Date
8 June 2010
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175694300
Graduation Year
1985 (41 years ago)
PAC ID
5092849869
Group Practice PAC ID
6406755693
Professional Enrollment ID
I20100816000360
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for SCOTT CHRISTIAN PAULSON (LCSW)

  • PO BOX 2603

    FORT WORTH, TX 761132603

    Phone: (817) 569-4300

    Type: Mailing

  • 3840 HULEN ST

    HTN, CLIENT ACCOUNTING

    FORT WORTH, TX 761077277

    Phone: (817) 569-4396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100816000360IClinical Social WorkerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406755693View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
P S Y C H I A T R YTX
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to SCOTT CHRISTIAN PAULSON (LCSW)?
NPI 1083934558 is assigned to SCOTT CHRISTIAN PAULSON (LCSW) under the national enumeration system.
Is SCOTT CHRISTIAN PAULSON (LCSW) active in the national directory?
SCOTT CHRISTIAN PAULSON (LCSW)'s public NPI profile is in an active state.
What kind of provider is SCOTT CHRISTIAN PAULSON (LCSW)?
The page reflects Clinical Social Worker for SCOTT CHRISTIAN PAULSON (LCSW). Clinical services aligned with this taxonomy classification.
Does SCOTT CHRISTIAN PAULSON (LCSW) practice in Texas?
You will see Fort Worth, Texas on file for SCOTT CHRISTIAN PAULSON (LCSW) alongside any extra practice locations.
Is SCOTT CHRISTIAN PAULSON (LCSW) a real provider?
This page reflects official NPPES data for NPI 1083934558. Always confirm identity and privileges with the practice and licensing boards.