Individual provider Active NPI

Wanda L Scalo, MSSW, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1861426371
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000922A Issued in IN
Practice address
411 Regency CT
# 5
Louisville, KY 40207-5287
Phone
(502) 893-1379
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

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 34000922A IN Primary

Addresses

Primary practice location

411 Regency CT
# 5
Louisville, KY 40207-5287

Mailing address

411 Regency CT
# 5
Louisville, KY 40207-5287
Phone (502) 893-1379

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

LicenseStateTypeSpecialty
34000922AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emily J. Stapp MD 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861426371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 REGENCY CT",
            "address_2": "# 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075287",
            "telephone_number": "502-893-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 REGENCY CT",
            "address_2": "# 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075287",
            "telephone_number": "502-893-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALO",
        "first_name": "WANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000922A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.