Individual provider Active NPI

Theresa A Cashman, LCSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1447557624
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14714 Issued in FL
Practice address
306 Bunker St
Melbourne, FL 32901-5805
Phone
(321) 208-2020
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 SW14714 FL Primary

Addresses

Primary practice location

306 Bunker St
Melbourne, FL 32901-5805

Mailing address

306 Bunker St
Melbourne, FL 32901-5805
Phone (321) 208-2020

Other practice location 1

100 Hibiscus Ave Apt B
Satellite Beach, FL 32937-5553
Phone (321) 292-0417

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
I20240718004600 FL Practitioner - Clinical Social Worker 3072059674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14714FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd'S Heart Ministries Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 7, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1447557624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BUNKER ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015805",
            "telephone_number": "321-208-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BUNKER ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015805",
            "telephone_number": "321-208-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hibiscus Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Satellite Beach",
            "state": "FL",
            "postal_code": "329375553",
            "country_code": "US",
            "telephone_number": "321-292-0417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASHMAN",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.