Individual provider Active NPI

Katherine P Scanio, MSW, LCSW, DCSW

  • Clinical Social Worker
  • Cut Off, LA
National Provider Identifier
1699813352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2966 Issued in LA
Practice address
14064 W Main St
Cut Off, LA 70345-3060
Phone
(985) 693-3800
NPI assigned
Feb 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2966 LA Primary

Addresses

Primary practice location

14064 W Main St
Cut Off, LA 70345-3060

Mailing address

3010 Creole Dr
Houma, LA 70364-1918
Phone (985) 872-6677

Other identifiers 1

IdentifierTypeStateIssuer
2966OtherLALA LICENSED CLINICAL SW

Other names 1

  • Katie Scanio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20070514000545 LA Practitioner - Clinical Social Worker 3476650169 Practice locations: Cut Off, LA; Houma, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Cambridge Cir
Houma, LA 70364-1889
Phone (985) 872-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699813352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 CREOLE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641918",
            "telephone_number": "985-872-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14064 W MAIN ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453060",
            "telephone_number": "985-693-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANIO",
        "first_name": "KATHERINE",
        "middle_name": "P",
        "credential": "MSW, LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSED  CLINICAL SW",
            "identifier": "2966",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SCANIO",
            "credential": "MSW, LCSW, DCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cut Off, LA

Sources for this page

Verify at the official NPI Registry.