Cassidy Kubli, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10181-M Issued in AR

Practice address

2199 Harrison St
Batesville, AR 72501-7416

Phone

(870) 793-6774

Fax

(870) 793-1997

NPI assigned

Jun 20, 2018

Last updated

Aug 13, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• BHC Pinnacle Pointe Hospital LLC

  dba Pinnacle Pointe Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)
• BHC Pinnacle Pointe Hospital, Inc.

  dba The Pointe Outpatient Behavioral Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • Batesville, AR
  • NPI 1932471638
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1164916466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017416",
            "telephone_number": "870-793-6774",
            "fax_number": "870-793-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017416",
            "telephone_number": "870-793-6774",
            "fax_number": "870-793-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBLI",
        "first_name": "CASSIDY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10181-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Knott, DO
• Austin Kocher, PHARMD
• Navyaja Koduri
• Teena A Kostas
• Kroger Limited Partnership I (Kroger Pharmacy)
• Anil Kumar, M.D.
• Silpa Kumar
• Margaret W Kuykendall, MD
• Dale Ladd, PA
• Wayne Wei-Ku Lai, M.D.

• Social Worker in Batesville, AR
• Providers in Batesville, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.