Individual provider Active NPI

Courtney Theriot Scala, L.C.S.W.

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1972804615
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10799 Issued in LA
Practice address
1312 Aris Ave
Metairie, LA 70005
Phone
(602) 684-1070
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10799 LA
Clinical Social Worker 1041C0700X 10799 LA Primary

Addresses

Primary practice location

1312 Aris Ave
Metairie, LA 70005

Mailing address

1312 Aris Ave
Metairie, LA 70005-1714
Phone (602) 684-1070

Other names 1

  • Miss Courtney Ann Theriot Former 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
I20130424000836 LA Practitioner - Clinical Social Worker 3476799107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

814 SW Evangeline Trwy
Suite 344
Lafayette, LA 70501-8240
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10799LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince May 7, 2019 Accepting new patients
Brightside Medical, P.C. CurrentSince Dec 1, 2024 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince May 7, 2019 Accepting new patients
The Guidance Center Inc PastSince Jul 24, 2022 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707

478 S Johnson St
Fl 6
New Orleans, LA 70112
Phone (504) 412-1819

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

3700 Saint Charles Ave
New Orleans, LA 70115
Phone (504) 895-7428

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 5

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1972804615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 ARIS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051714",
            "telephone_number": "602-684-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 ARIS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "602-684-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALA",
        "first_name": "COURTNEY",
        "middle_name": "THERIOT",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "10799",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "THERIOT",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "L.M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.