Sasha D Fassett Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069367-1 Issued in NY

Legal business name

SASHA D FASSETT LICENSED CLINICAL SOCIAL WORKER PC

Practice address

217 Jefferson Ave
Endicott, NY 13760-5244

Phone

(607) 237-5411

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sasha D Fassett, LCSW-RNPI 1114949062

Title

Licensed Clinical Social Worker

Phone

(607) 237-5411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sasha Dora Fassett, LCSW

  • Clinical Social Worker
  • Vestal, NY
  • NPI 1114949062
  Medicare reassignment NPD Authorized official
• Kathleen M Loftus, LCSW-R

  • Clinical Social Worker
  • Binghamton, NY
  • NPI 1346473790
  Medicare reassignment NPD

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1033457163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JEFFERSON AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605244",
            "telephone_number": "607-237-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 JEFFERSON AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605244",
            "telephone_number": "607-237-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA D FASSETT LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "FASSETT",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "607-237-5411",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan Counseling Center of the Southern Tier Inc
• Desirae Rose Samiani
• Rupeinder Sandhu
• Martha Laurel Santa Croce, O.D.
• Anthony Joseph Sanzone, DPM
• Kalli Scepaniak, MS CCC-SLP
• Stuart D Schiff, DDS
• Carol A Schneider, LMT
• Cheryl Lynn Scott-Richard, PSY.D.
• Stephen Shaffer, P.T.

• Clinical Social Worker in Endicott, NY
• Providers in Endicott, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.