Active NPI
Kimberly T Cass, LMSW
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1346674108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 096711-01
- Practice address
- 1330 E Washington St
Syracuse, NY 13210-1173 - Phone
- (315) 426-5954
- NPI assigned
- Aug 29, 2013
- Last updated
- May 20, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 096711-01 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 068823-1 | NY |
Addresses
Primary practice location
1330 E Washington St
Syracuse, NY 13210-1173
Mailing address
1330 E Washington St
Syracuse, NY 13210-1173
Phone (315) 426-5954
Other practice location 1
650 Madison St
Syracuse, NY 13210-2338
Phone (315) 426-3600
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 |
|---|---|---|---|
| 068823-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1346674108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 E WASHINGTON ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101173",
"telephone_number": "315-426-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 E WASHINGTON ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101173",
"telephone_number": "315-426-5954"
}
],
"practiceLocations": [
{
"address_1": "650 Madison St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102338",
"country_code": "US",
"telephone_number": "315-426-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASS",
"first_name": "KIMBERLY",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096711-01",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "068823-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.