Cassandra Scott

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021017 Issued in NC

Practice address

29 Chapelwood Cir
Pembroke, NC 28372-7715

Phone

(910) 740-0079

NPI assigned

May 22, 2023

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Graceway Counseling LLC

  • Clinical Social Worker
  • Pembroke, NC
  • NPI 1477457646
  NPD (past) Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1033801709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHAPELWOOD CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727715",
            "telephone_number": "910-740-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CHAPELWOOD CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727715",
            "telephone_number": "910-740-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scotland Memorial Hospital (Foxglove Urgent Care)
• Scotland Memorial Hospital Inc (Pembroke Family Practice Center)
• Scotland Memorial Hospital Inc (Scotland Pharmacy - Pembroke)
• Scotland Orthopedics, PA
• Scotland Regional Health Network (Scotland Surgical and GI Associates)
• Dangelio Scott
• Jennifer Scott, LCSWA
• Kayla Scott, MAED, LCMHC-A, NCC
• Kyra K Scott
• Khalelah Shackleford

• Clinical Social Worker in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.