Individual provider Active NPI

Mallory Elizabeth Daily, CSW, MSW

  • Social Worker
  • Shreveport, LA
National Provider Identifier
1063130169
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17227 Issued in LA
Practice address
458 Herndon St
Shreveport, LA 71101-4859
Phone
(318) 413-2990
NPI assigned
Aug 16, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 17227 LA Primary

Addresses

Primary practice location

458 Herndon St
Shreveport, LA 71101-4859

Mailing address

458 Herndon St
Shreveport, LA 71101-4859

Other identifiers 1

IdentifierTypeStateIssuer
171M00000XMedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mallory.Daily@voanorthla.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17227LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of North Louisiana CurrentSince Aug 28, 2022 Accepting new patients

Locations

2920 Knight St
Bldg 1
Shreveport, LA 71105
Phone (318) 429-6938

458 Herndon St
Shreveport, LA 71101
Phone (318) 221-5565

Interoperability endpoints

  • Direct secure messaging: mallory.daily@voanorthla.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1063130169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-413-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILY",
        "first_name": "MALLORY",
        "middle_name": "ELIZABETH",
        "credential": "CSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mallory.Daily@voanorthla.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "458 Herndon St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711014859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.