Cassie Puckett, LCSW, LCADC, ICGC-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257753 Issued in KY

Practice address

1100 Walnut St
Owensboro, KY 42301-2956

Phone

(270) 689-6500

Fax

(270) 689-6677

NPI assigned

Dec 27, 2019

Last updated

Nov 8, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

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.

• Rivervalley Behavioral Health Inc

  dba RiverValley Behavioral Health

  • Community Health Clinic/Center
  • Owensboro, KY
  • NPI 1285689711
  Medicare reassignment
• Can-Teens Foundation

  • Adolescent and Children Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1801568092
  NPD (past)
• Green River Regional Mental Health/Mental Retardation Board, Inc.

  dba RiverValley Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Owensboro, KY
  • NPI 1356383111
  NPD (past)
• Rivervalley Behavioral Health Inc

  dba Amethyst Center

  • Substance Abuse Rehabilitation Facility
  • Owensboro, KY
  • NPI 1154099281
  NPD (past)

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1043859762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 PENNSYLVANIA AVE",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423512444",
            "telephone_number": "270-922-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WALNUT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012956",
            "telephone_number": "270-689-6500",
            "fax_number": "270-689-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "CASSIE",
        "credential": "LCSW, LCADC, ICGC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "281314",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "254407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prorehab, Inc
• Marshall Edward Prunty, MD
• Trina Pryor, SLP
• Publix Super Markets Inc (Publix Pharmacy #2053)
• Publix Super Markets Inc (Publix Pharmacy #2064)
• Jennifer Puetz, LISW
• Pulmonary Associates of Owensboro PSC
• Puzzle Pieces, Inc.
• Qi Zhou Bcba
• Quality Supply LLC

• Clinical Social Worker in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.