Active NPI
Cassandra Gallagher, LCSW
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1043358476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3172
- Practice address
- 1231 N Tuttle Ave
Sarasota, FL 34237-3116 - Phone
- (941) 366-0134
- Fax
- (866) 622-3009
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW3172 | FL | Primary |
Addresses
Primary practice location
1231 N Tuttle Ave
Sarasota, FL 34237-3116
Mailing address
4440 Fruitville Rd
Sarasota, FL 34232-1926
Phone (941) 366-0134
Other practice location 1
1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134 ext. 1050
Other practice location 2
14243 Tamiami Trl
North Port, FL 34287-2215
Phone (941) 888-2144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691650300 | Medicaid | FL | |
| SW3172 | Other | FL | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW3172 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1043358476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342321926",
"telephone_number": "941-366-0134",
"fax_number": "941-404-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 N TUTTLE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342373116",
"telephone_number": "941-366-0134",
"fax_number": "866-622-3009"
}
],
"practiceLocations": [
{
"address_1": "1231 N Tuttle Ave",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "34237",
"country_code": "US",
"telephone_number": "941-366-0134 x1050",
"fax_number": "866-622-3009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14243 Tamiami Trl",
"address_purpose": "LOCATION",
"city": "North Port",
"state": "FL",
"postal_code": "342872215",
"country_code": "US",
"telephone_number": "941-888-2144",
"fax_number": "888-213-0604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "CASSANDRA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW3172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691650300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "SW3172",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.