Individual provider Active NPI

Cassandra Waldo, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1538417829
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10521578-3501 Issued in UT
Practice address
437 S Bluff St Ste 102
St George, UT 84770-3553
Phone
(435) 634-8848
Fax
(435) 634-8884
NPI assigned
Aug 17, 2012
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 10521578-3501 UT Primary

Addresses

Primary practice location

437 S Bluff St Ste 102
St George, UT 84770-3553

Mailing address

437 S Bluff St Ste 302
St George, UT 84770-3591
Phone (435) 634-8848

Other practice location 1

720 S River Rd
St George, UT 84790-5507
Phone (435) 767-1424

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contact@redsandspsychiatry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20241202000963 UT Practitioner - Clinical Social Worker 8224347489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paige Marshall Aprn PLLCGroup PAC ID 0446582357, 8 clinicians

Practice addresses (Care Compare)

437 S Bluff St
Suite 302
Saint George, UT 84770-3591
Phone (435) 634-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10521578-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Red Sands Mental Health PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

437 S Bluff St
Ste 102
St George, UT 84770
Phone (435) 635-3727

437 S Bluff St
Ste 302
St George, UT 84770
Phone 4356348848 ext. 48848

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1538417829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703591",
            "telephone_number": "435-634-8848",
            "fax_number": "435-634-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703553",
            "telephone_number": "435-634-8848",
            "fax_number": "435-634-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 S River Rd",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847905507",
            "country_code": "US",
            "telephone_number": "435-767-1424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDO",
        "first_name": "CASSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10521578-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@redsandspsychiatry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "437 S Bluff St Ste 102",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847703553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.