Individual provider Active NPI

Kia Cecile Cashman, MSW, LICSW

  • Clinical Social Worker
  • West St Paul, MN
National Provider Identifier
1023340734
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9235 Issued in MN
Practice address
1633 Robert St S
Suite a
West St Paul, MN 55118-3969
Phone
(651) 450-0860
Fax
(651) 450-0759
NPI assigned
Feb 4, 2010
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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 9235 MN Primary

Addresses

Primary practice location

1633 Robert St S
Suite a
West St Paul, MN 55118-3969

Mailing address

3100 W Lake St
Suite 210
Minneapolis, MN 55416-4527
Phone (612) 925-6033

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100618000713 MN Practitioner - Clinical Social Worker 5991835829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Park Ave S
Saint Cloud, MN 56301-6196
Phone (320) 237-6571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9235MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Mental Health & Drug Addiction Services Clinical CurrentSince Aug 17, 2022 Accepting new patients
Behavioral Health Advocacy Services LLC CurrentSince Dec 16, 2020 Accepting new patients

Locations

130 Park Ave S
Saint Cloud, MN 56301
Phone (320) 237-6571

130 Park Ave S
Ste 3
Saint Cloud, MN 56301
Phone (320) 251-4571

Organizations & group practices 2

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1023340734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W LAKE ST",
            "address_2": "SUITE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164527",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ROBERT ST S",
            "address_2": "SUITE A",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183969",
            "telephone_number": "651-450-0860",
            "fax_number": "651-450-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMAN",
        "first_name": "KIA",
        "middle_name": "CECILE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West St Paul, MN

Sources for this page

Verify at the official NPI Registry.