Mackenzie L Scallan
Individual provider Active NPI Social Worker · Ball, LA
NPI 1225909427 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1225909427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 19005 (LA)
- Practice address
- 1207 Tioga Rd
Ball, LA 71405-3989 - Phone
- (866) 530-6111
- NPI assigned
- Sep 12, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19005 | LA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19005 | LA | Yes |
Addresses
Primary practice location
1207 Tioga Rd
Ball, LA 71405-3989
Mailing address
2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712
Other providers in Ball, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.