John Matthew Scallion, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2022015652 Issued in MO

Practice address

4228 S Hocker Dr BLDG 12
Independence, MO 64055-4754

Phone

(816) 381-7690

Fax

(816) 381-4356

NPI assigned

Jan 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Matt Scallion Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Authentic Life LLC

  • Clinical Social Worker
  • Independence, MO
  • NPI 1437815255
  NPD
• Mi Pacs 2 PC

  • Hospitalist Physician
  • Northville, MI
  • NPI 1205418357
  NPD (past)

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1154743151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W MAPLE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502816",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 S HOCKER DR BLDG 12",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554754",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640502816",
            "country_code": "US",
            "telephone_number": "816-381-7690",
            "fax_number": "612-925-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALLION",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022015652",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "SCALLION",
            "credential": "MSW, LICSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Elizabeth Saulsberry, P.T.
• Shanisha Larie Saulsberry
• Jessica Sawyer
• Megan Sax, LCSW
• Joseph Sayegh, M.D.
• Matthew Scavuzzo
• Vincent M Scavuzzo, CRNA
• David Allen Schaefer, D.D.S.
• Deborah L Schafer, LCSW
• Katlyn Schiefen, RBT

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.