Individual provider Active NPI

Joan Scanlan, LCSW

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1053571422
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7601 Issued in LA
Practice address
620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862
Phone
(985) 710-7777
Fax
(985) 276-3391
NPI assigned
Jun 10, 2008
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7601 LA Primary

Addresses

Primary practice location

620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862

Mailing address

620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862
Phone (985) 710-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7601LAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1053571422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-710-7777",
            "fax_number": "985-276-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-710-7777",
            "fax_number": "985-276-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.