Cassey R Chang, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9907 Issued in FL

Practice address

4204 Okeechobee Rd
Fort Pierce, FL 34947-5414

Phone

(772) 429-4564

NPI assigned

Oct 16, 2011

Last updated

Dec 26, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Family Preservation Services

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1972808871
  NPD (past)
• Family Preservation Services of Florida, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Metairie, LA
  • NPI 1063528560
  NPD (past)

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1346525862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475414",
            "telephone_number": "772-429-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475414",
            "telephone_number": "772-429-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CASSEY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXX7700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson Cesar
• Cfsatc Inc (Central Florida Treatment Centers Fort Pierce)
• Alden Chacon Veliz, RDH
• Prasad VRK Chalasani, MD
• Richard Walton Chambers, MASTERS DEGREE
• Changing Strides Community Services Inc
• Christopher T Channon, MD
• Anna Jose Elissenda Chanoine, M.D.
• Andrew Charitar
• Jean Claudel Charles, DNP, FNP-C

• Clinical Social Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.