Linh Scally, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20023 Issued in MN

Practice address

801 NE 4TH St
Grand Rapids, MN 55744-3106

Phone

(218) 398-0742

NPI assigned

Jul 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Minnesota, Duluth School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Well PLLCGroup PAC ID 6800132416, 3 clinicians

Practice addresses (Care Compare)

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.

• Well PLLC

  • Mental Health Counselor
  • Grand Rapids, MN
  • NPI 1508336223
  Medicare reassignment Care Compare group NPD
• Itasca Chiropractic Center, P.C.

  • Preferred Provider Organization
  • Grand Rapids, MN
  • NPI 1861708992
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1316225527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MCKINNEY LAKE RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444323",
            "telephone_number": "218-398-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NE 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443106",
            "telephone_number": "218-398-0742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 7th Ave. SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "55744",
            "country_code": "US",
            "telephone_number": "218-326-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALLY",
        "first_name": "LINH",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Roy
• Kathleen Rubesh, LICSW
• Devon Rudolph
• Kimberley Ann Ruff, BS
• William L. Rutherford, MD
• Dennis F. Scherer, MD
• Larry James Schlauderaff, O.D.
• Lynette Schmidt, MSW LICSW
• Terry David Schmitt, DDS
• Avrielle Jewel Schneider, LADC

• Clinical Social Worker in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.