Casandra Dayley Serr, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

38343 Issued in ID

Practice address

720 East Alice
Blackfoot, ID 83221

Phone

(208) 785-5872

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By 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.

• Idaho Dept of Health & Welfare Reg 7 Amh BF

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blackfoot, ID
  • NPI 1114058179
  NPD (past)
• Idaho Dept of Health & Welfare Reg 7 CMH P C

  • Rehabilitation Clinic/Center
  • Blackfoot, ID
  • NPI 1639201593
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1316409337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210129",
            "telephone_number": "208-785-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST ALICE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "83221",
            "telephone_number": "208-785-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERR",
        "first_name": "CASANDRA",
        "middle_name": "DAYLEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "38343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory James Sayre, CRNA
• Ryan T Sayre, CRNA
• Schmitt Enterprises (Blackfoot Physical Therapy)
• Dustin Cade Schmitt, MPT, CSCS
• Brianne Scott
• Dean Woodrow Shandy, D.O.
• Vicki Shapiro, MD
• David Shelley, MD
• Shaunna Shortes, FNP C
• Simpson Chiropractic PLLC (Simpson Chiropractic)

• Social Worker in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.