Casey Cheshire, MSW
Individual provider Active NPI Social Worker · Moultrie, GA
NPI 1386450682 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1386450682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 3015 Veterans Pkwy S
Moultrie, GA 31788-6705 - Phone
- (229) 502-9043
- NPI assigned
- Dec 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
3015 Veterans Pkwy S
Moultrie, GA 31788-6705
Mailing address
808 Davis Ave
Tifton, GA 31794-4048
Phone (229) 507-5078
NPI Registry JSON
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1386450682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 DAVIS AVE",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944048",
"telephone_number": "229-507-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 VETERANS PKWY S",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317886705",
"telephone_number": "229-502-9043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESHIRE",
"first_name": "CASEY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-10",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.