Active NPI
Cassandra Denise Clariett
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1477139376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 7976 W Star Catcher Dr
Tucson, AZ 85743-1503 - Phone
- (901) 692-1939
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7976 W Star Catcher Dr
Tucson, AZ 85743-1503
Mailing address
7976 W Star Catcher Dr
Tucson, AZ 85743-1503
Phone (901) 692-1939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02 | Other | SELF-PAY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SimplePractice | Direct |
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 |
|---|---|---|---|
| 7343 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1477139376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7976 W STAR CATCHER DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857431503",
"telephone_number": "901-692-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7976 W STAR CATCHER DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857431503",
"telephone_number": "901-692-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARIETT",
"first_name": "CASSANDRA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF-PAY",
"identifier": "02",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7976 W Star Catcher Dr",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857431503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.