Active NPI
Jason Leonard Scianno, LCSW, LCAS
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1215545769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015254
- Practice address
- 7349 Statesville Rd
Charlotte, NC 28269-3702 - Phone
- (646) 734-6924
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A26632 | NC | |
| Clinical Social Worker | 1041C0700X | C015254 | NC | Primary |
Addresses
Primary practice location
7349 Statesville Rd
Charlotte, NC 28269-3702
Mailing address
7634 Henderson Park Rd
Huntersville, NC 28078-6365
Phone (646) 734-6924
Other practice location 1
429 Billingsley Rd
Charlotte, NC 28211-1007
Phone (704) 376-7447
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
| License | State | Type | Specialty |
|---|---|---|---|
| A26632 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C015254 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1215545769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7634 HENDERSON PARK RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786365",
"telephone_number": "646-734-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7349 STATESVILLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693702",
"telephone_number": "646-734-6924"
}
],
"practiceLocations": [
{
"address_1": "429 Billingsley Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111007",
"country_code": "US",
"telephone_number": "704-376-7447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCIANNO",
"first_name": "JASON",
"middle_name": "LEONARD",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "A26632",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.