Individual provider Active NPI

Lyn Dee Cassin, LCSW, MSW

  • Clinical Social Worker
  • Lafayette, IN
National Provider Identifier
1164925350
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008056A Issued in IN
Practice address
1716 Hartford St
Lafayette, IN 47904-2173
Phone
(765) 742-1567
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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 34008056A IN Primary

Addresses

Primary practice location

1716 Hartford St
Lafayette, IN 47904-2173

Mailing address

1425 N Salisbury St
West Lafayette, IN 47906-2419
Phone (330) 883-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20180322001214 IN Practitioner - Clinical Social Worker 1355603705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46204
Phone (323) 205-7088

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008056AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 25, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 1, 2026 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1164925350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N SALISBURY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062419",
            "telephone_number": "330-883-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HARTFORD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042173",
            "telephone_number": "765-742-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIN",
        "first_name": "LYN",
        "middle_name": "DEE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.