Paul Damien Cassidy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 6576 Issued in FL

Practice address

1651 Rock Prairie Rd Ste 101
College Station, TX 77845-8652

Phone

(850) 723-7703

Fax

(877) 822-7339

NPI assigned

Jan 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Outcomes, LLC

  • Clinical Social Worker
  • Panama City Beach, FL
  • NPI 1740739887
  NPD (past) Authorized official
• Access Recovery Solutions

  • Methadone Clinic
  • Delray Beach, FL
  • NPI 1235593831
  NPD
• Access Recovery Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Panama City, FL
  • NPI 1801124805

  Clinical

  NPD
• Gulf Coast Addiction Medicine

  • Community/Behavioral Health Agency
  • Panama City, FL
  • NPI 1407301757
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1487891941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHUMAN BLVD STE 262",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638480",
            "telephone_number": "850-723-7703",
            "fax_number": "877-822-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 ROCK PRAIRIE RD STE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458652",
            "telephone_number": "850-723-7703",
            "fax_number": "877-822-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17347 Village Green Dr",
            "address_purpose": "LOCATION",
            "city": "Jersey Village",
            "state": "TX",
            "postal_code": "770401159",
            "country_code": "US",
            "telephone_number": "281-668-3510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Rayford Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773862797",
            "country_code": "US",
            "telephone_number": "832-823-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "PAUL",
        "middle_name": "DAMIEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Casarez, LCSW
• Blake Austin Casey, DO
• Cashion and de Leon (NP Clinic)
• Christopher King Cashion, DDS
• Jarrod Mitchell Cashion Sr., NP-C, DC
• Aldo Joseph Castiglioni II, M.D., PH.D.
• Linda Castillo, PH.D.
• Jessica Castro, LPC
• Lorin V Catalena, P.A.
• Eder Hans Cativo Calderon, M.D.

• Clinical Social Worker in College Station, TX
• Providers in College Station, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.