Individual provider Active NPI

Cassie Lynn Direnzo, M.S.W., L.I.S.W.

  • Clinical Social Worker
  • East Liverpool, OH
National Provider Identifier
1174764971
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0700107 Issued in OH
Practice address
16239 Saint Clair Ave
Pathway Counseling Center, LLC
East Liverpool, OH 43920-9449
Phone
(330) 386-4008
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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 I0700107 OH Primary

Addresses

Primary practice location

16239 Saint Clair Ave
Pathway Counseling Center, LLC
East Liverpool, OH 43920-9449

Mailing address

1203 Fairmont Street
Pathway Counseling Center, LLC
East Liverpool, OH 43920
Phone (330) 383-2961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0700107OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Counseling Center, LLC Clinical PastSince Jan 1, 1990 Accepting new patients
Family Recovery Center PastSince Apr 1, 2016 Accepting new patients
Psycho Social Therapies,LTD PastSince Dec 10, 2023 Accepting new patients
Psycho Social Therapies,LTD Clinical PastSince Dec 10, 2023 Accepting new patients

Organizations & group practices 4

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1174764971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FAIRMONT STREET",
            "address_2": "PATHWAY COUNSELING CENTER, LLC",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-383-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16239 SAINT CLAIR AVE",
            "address_2": "PATHWAY COUNSELING CENTER, LLC",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209449",
            "telephone_number": "330-386-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRENZO",
        "first_name": "CASSIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0700107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.