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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2025.

{
    "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

All providers in Moultrie, GA · Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.