Cassidy Clark, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

115 Oak Rd
Norris, TN 37828-3051

Phone

(865) 351-0621

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1033844386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 PINE BLUFF BLVD APT 112",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091683",
            "telephone_number": "484-408-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OAK RD",
            "city": "NORRIS",
            "state": "TN",
            "postal_code": "378283051",
            "telephone_number": "865-351-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CASSIDY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agilitas USA, Inc (Results Physiotherapy)
• Jacqueline Baxter, NCPRSS
• Brendley, Inc. (The Flats of Norris)
• Camelot Outpatient Services, LLC
• Sharon V Carlomagno, OT
• Donna Kaye Ford, L.P.C.
• Mims Gordon, M.ED
• Jamie Gossett, SPEECH THERAPIST
• Adam Guinn
• Jeanne Ann Hartsell, PT, OCS

• Mental Health Counselor in Norris, TN
• Providers in Norris, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.