Cassandra Wylie, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103168-SUPV Issued in OH

Practice address

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728

Phone

(330) 397-6007

Fax

(234) 254-5655

NPI assigned

Nov 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Insight Clinical Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Liverpool, OH
  • NPI 1992431043
  Medicare reassignment NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1093359804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 MAIN ST",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444427729",
            "telephone_number": "330-774-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "330-397-6007",
            "fax_number": "234-254-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Stutz Dr",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069176",
            "country_code": "US",
            "telephone_number": "330-286-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "CASSANDRA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103168-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1600867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Wong, D.O.
• Abigail Leigh Wooster
• John C. Wright Jr., M.D.
• Katherine Marie Wright, CCC-SLP
• Kristi Wright, COTA
• Amanda Yanek, PHARM D.
• Melissa Joy Yanni, BCBA
• Michael D Zellers, DPT
• Chelsey Anne Zoldan-Calhoun

• Clinical Social Worker in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.