Individual provider Active NPI

Cassidy Rill

  • Clinical Social Worker
  • Appleton, WI
National Provider Identifier
1053157644
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12993-123 Issued in WI
Practice address
2321 W Wisconsin Ave
Appleton, WI 54914-3112
Phone
(920) 214-5920
NPI assigned
Jul 3, 2024
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12993-123 WI Primary

Addresses

Primary practice location

2321 W Wisconsin Ave
Appleton, WI 54914-3112

Mailing address

378 Naymut St
Menasha, WI 54952-3423
Phone (920) 642-3023

Other practice location 1

325 N Commercial St
Neenah, WI 54956-2665
Phone (920) 725-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12993-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LK Anderson Consulting LLC CurrentSince Jun 29, 2025 Accepting new patients
Radiology Associates of the Fox Valley, SC PastSince Jun 29, 2025 Accepting new patients

Locations

325 N Commercial St
Neenah, WI 54956
Phone (920) 722-1583

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1053157644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 NAYMUT ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523423",
            "telephone_number": "920-642-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143112",
            "telephone_number": "920-214-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N Commercial St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562665",
            "country_code": "US",
            "telephone_number": "920-725-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILL",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12993-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.