Active NPI
Cassie Ward
- Psychologist
- Logan, WV
National Provider Identifier
1346390267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1002
- Practice address
- 306 Main St
Logan, WV 25601-3906 - Phone
- (304) 752-7707
- Fax
- (304) 752-0772
- NPI assigned
- Jan 11, 2007
- Last updated
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1002 | WV | Primary |
| Clinical Social Worker | 1041C0700X | AP00939959 | WV |
Addresses
Primary practice location
306 Main St
Logan, WV 25601-3906
Mailing address
306 Main St
Logan, WV 25601-3906
Phone (304) 752-7707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810018628 | Medicaid | WV | |
| 001715139 | Other | WV | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00939959 | WV | MD | Clinical Social Worker |
| 1002 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Associates of Logan | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Logan, WV
- NPI 1740330943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1346390267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MAIN ST",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013906",
"telephone_number": "304-752-7707",
"fax_number": "304-752-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 MAIN ST",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013906",
"telephone_number": "304-752-7707",
"fax_number": "304-752-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "CASSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1002",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "AP00939959",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810018628",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "001715139",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.