Individual provider Active NPI

Cassie Koester, LCSW

  • Clinical Social Worker
  • Trinity, FL
National Provider Identifier
1376191171
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9332 State Route 54
Suite 307
Trinity, FL 34655
Phone
(727) 999-3311
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 Primary

Addresses

Primary practice location

9332 State Route 54
Suite 307
Trinity, FL 34655

Mailing address

9332 State Route 54
Suite 307
Trinity, FL 34655
Phone (727) 999-3311

Other practice location 1

3251 N McMullen Booth Rd Ste 100
Clearwater, FL 33761-2022
Phone (727) 725-6026

Other practice location 2

14499 N Dale Mabry Hwy Ste 130-S
Tampa, FL 33618-2078
Phone (813) 530-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191024000104 FL Practitioner - Clinical Social Worker 1557693553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Personal Recovery Network LLC CurrentSince Jun 24, 2021 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Behavioral Health Management Services, Inc CurrentSince Oct 15, 2019 Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

14499 N Dale Mabry Hwy
Ste 130S
Tampa, FL 33618
Phone (813) 530-1414

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

9332 State Road 54
Ste 307
Trinity, FL 34655
Phone (727) 999-3311

9332 State Road 54
Ste 350
Trinity, FL 34655
Phone (727) 999-3311

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: fbh.cassiekoester@141363.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1376191171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROUTE 54",
            "address_2": "SUITE 307",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-999-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROUTE 54",
            "address_2": "SUITE 307",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-999-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 N McMullen Booth Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612022",
            "country_code": "US",
            "telephone_number": "727-725-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14499 N Dale Mabry Hwy Ste 130-S",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182078",
            "country_code": "US",
            "telephone_number": "813-530-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "CASSIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.