Individual provider Active NPI

Natasha Lynn Cassulis, LCSW

  • Clinical Social Worker
  • Paragould, AR
National Provider Identifier
1295966364
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2670-C Issued in AR
Practice address
1908 Mockingbird LN Ste C
Paragould, AR 72450-6227
Phone
(870) 450-9856
Fax
(870) 634-2112
NPI assigned
Aug 6, 2009
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 2670-C AR Primary

Addresses

Primary practice location

1908 Mockingbird LN Ste C
Paragould, AR 72450-6227

Mailing address

1908 Mockingbird LN Ste C
Paragould, AR 72450-6227
Phone (870) 450-9856

Other identifiers 3

IdentifierTypeStateIssuer
226888719MedicaidAR
5FF36OtherARBCBS
169561795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20141002002542 AR Practitioner - Clinical Social Worker 8729223441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

571 GR 523 Rd
Paragould, AR 72450-2945
Phone (870) 450-9846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Jan 7, 2019 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Jan 7, 2019 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
Journey to a New You, PLLC CurrentSince Apr 27, 2022 Accepting new patients
Arcare Past Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
Ags Healthcare Specialists Inc Past Accepting new patients
GPS II Past Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

28 Southpointe Dr
Paragould, AR 72450
Phone (870) 239-2244

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1295966364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 MOCKINGBIRD LN STE C",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506227",
            "telephone_number": "870-450-9856",
            "fax_number": "870-634-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 MOCKINGBIRD LN STE C",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506227",
            "telephone_number": "870-450-9856",
            "fax_number": "870-634-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSULIS",
        "first_name": "NATASHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2670-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226888719",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5FF36",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169561795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.