Individual provider Active NPI

Cassady Cobb

  • Clinical Social Worker
  • Bardstown, KY
National Provider Identifier
1487028544
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252822 Issued in KY
Practice address
970 Bloomfield Rd
Bardstown, KY 40004-9708
Phone
(270) 234-6695
NPI assigned
Nov 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X KY
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LCSW252822 KY
Clinical Social Worker 1041C0700X 252822 KY Primary

Addresses

Primary practice location

970 Bloomfield Rd
Bardstown, KY 40004-9708

Mailing address

3400 Salem Church Rd
Hodgenville, KY 42748-9506
Phone (270) 234-6695

Other practice location 1

100 Par Ln Ste 102
Elizabethtown, KY 42701-9023
Phone (270) 320-2605

Other practice location 2

910 2nd Ave
Rockford, IL 61104-2162
Phone (844) 473-6378

Other practice location 3

18 N Main St
Madisonville, KY 42431-1963
Phone (270) 875-4332

Other practice location 4

308 W Dixie Ave
Elizabethtown, KY 42701-1702
Phone (270) 900-4179

Other practice location 5

527 State St
Bowling Green, KY 42101-1242
Phone (270) 904-4005

Other identifiers 1

IdentifierTypeStateIssuer
1722970MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180410001124 KY Practitioner - Clinical Social Worker 6901169879 Reassigns benefits to 1 organization
I20210406002155 KY Practitioner - Clinical Social Worker 6901169879 Practice locations: Bardstown, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

970 Bloomfield Rd
Bardstown, KY 40004-9708
Phone (270) 209-2124

PO Box
Suite 374
New Haven, KY 40051-0374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252822KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unbound Life LLC Clinical PastSince Jun 26, 2022 Accepting new patients
Get Set Go Health & Wellness Company, LLC Mental Health PastSince Mar 1, 2020 Accepting new patients
New Horizons LLC Addiction (Substance Use Disorder) PastSince Mar 22, 2020 Accepting new patients
Lighthouse Sober Solutions LLC Past Accepting new patients
Cassady D Cobb LCSW LLC Clinical PastSince Jul 6, 2018 Accepting new patients

Organizations & group practices 6

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": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1487028544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SALEM CHURCH RD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489506",
            "telephone_number": "270-234-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049708",
            "telephone_number": "270-234-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Par Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427019023",
            "country_code": "US",
            "telephone_number": "270-320-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611042162",
            "country_code": "US",
            "telephone_number": "844-473-6378",
            "fax_number": "270-246-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 N Main St",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311963",
            "country_code": "US",
            "telephone_number": "270-875-4332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 W Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427011702",
            "country_code": "US",
            "telephone_number": "270-900-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 State St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011242",
            "country_code": "US",
            "telephone_number": "270-904-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "CASSADY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2025-04-08",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "LCSW252822",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.