Individual provider Active NPI

Cassondra Wimmer, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1508239211
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020720 Issued in PA
Practice address
9066 Perry Hwy Ste 4
Pittsburgh, PA 15237-5395
Phone
(412) 748-1430
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 CW020720 PA Primary

Addresses

Primary practice location

9066 Perry Hwy Ste 4
Pittsburgh, PA 15237-5395

Mailing address

9066 Perry Hwy Ste 4
Pittsburgh, PA 15237-5395
Phone (412) 748-1430

Other names 1

  • Cassondra Harding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200512002738 PA Practitioner - Clinical Social Worker 8022449867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Living Stones Counseling Services LLCGroup PAC ID 7113358953, 4 clinicians

Practice addresses (Care Compare)

511 Lowries Run Rd
Pittsburgh, PA 15237-1232

9066 Perry Hwy
Suite 4
Pittsburgh, PA 15237-5395
Phone (412) 748-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020720PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Living Stones Counseling Services LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients
Anchorpoint Counseling Ministry, Inc. CurrentSince Jun 15, 2021 Accepting new patients

Locations

800 McKnight Park Dr
Ste 802
Pittsburgh, PA 15237
Phone (412) 366-1300

8250 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 366-1300

9066 Perry Hwy
Ste 4
Pittsburgh, PA 15237
Phone (412) 748-1430

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1508239211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 PERRY HWY STE 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375395",
            "telephone_number": "412-748-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9066 PERRY HWY STE 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375395",
            "telephone_number": "412-748-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "CASSONDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSONDRA",
            "last_name": "HARDING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.