Cassandra Jo Carmichael, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW142103 Issued in PA

Practice address

413 S Logan Blvd Ste 3
Altoona, PA 16602-5643

Phone

(814) 201-2750

Fax

(814) 201-2383

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crystal Moon Counseling LLC

  • Clinical Social Worker
  • Altoona, PA
  • NPI 1073361549
  NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1083108765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015215",
            "telephone_number": "814-943-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S LOGAN BLVD STE 3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025643",
            "telephone_number": "814-201-2750",
            "fax_number": "814-201-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166015215",
            "country_code": "US",
            "telephone_number": "814-943-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "CASSANDRA",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW142103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORKERS, MARRIAGE & FAMILY THERAPISTS AND PROFESSIONAL COU",
            "identifier": "SW142103",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Healthcare Network (Caring Healthcare Network Non-RHC Altoona)
• Caring Healthcare Network Altoona LLC
• Caring Healthcare Network Behavioral Health Services LLC
• Stacey Carlitz
• Krysten A Carlson, PA-C
• Jacob Carmichael, DPM
• Susannah Carnicella
• Bonny Carr
• Jill Melissa Carruthers, COTA/L
• Amanda S Caruso, LPC

• Social Worker in Altoona, PA
• Providers in Altoona, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.