Cassie Elizabeth Brown, LCSW, MSW

Individual provider Active NPI Clinical Social Worker · Windsor, MO

NPI 1083865729 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1083865729
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2021030658 (MO)
Practice address
307 N Main St
Windsor, MO 65360-1449
Phone
(844) 853-8937
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bothwell Health Center-Truman Lake
Warsaw, MO · CCN 268598
Rural health clinic Corporate Director May 6, 2024
Bothwell TLC Pediatrics
Sedalia, MO · CCN 268783
Rural health clinic Corporate Director May 6, 2024
Cole Camp Clinic
Cole Camp, MO · CCN 268795
Rural health clinic Corporate Director May 6, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210819000996 MO Practitioner - Clinical Social Worker 3577968130 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3812KYMDClinical Social Worker
2021030658MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3812 KY
Clinical Social Worker 1041C0700X 2021030658 MO Yes

Addresses

Primary practice location

307 N Main St
Windsor, MO 65360-1449

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other providers in Windsor, MO

All providers in Windsor, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.