Individual provider Active NPI

Marian McFarland McGavran, MSW, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1417187766
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8243 Issued in LA
Practice address
1539 Jackson Ave
New Orleans, LA 70130-5858
Phone
(504) 734-1740
Fax
(504) 734-9896
NPI assigned
Jul 21, 2009
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8243 LA Primary

Addresses

Primary practice location

1539 Jackson Ave
New Orleans, LA 70130-5858

Mailing address

7500 Hampson St
New Orleans, LA 70118-5034
Phone (504) 259-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2024 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8243LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pelts, Kirkhart, Major and Associates, LLC Past Accepting new patients

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1417187766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HAMPSON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185034",
            "telephone_number": "504-259-6162",
            "fax_number": "504-734-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 JACKSON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305858",
            "telephone_number": "504-734-1740",
            "fax_number": "504-734-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAVRAN",
        "first_name": "MARIAN",
        "middle_name": "MCFARLAND",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.