Cassidy Jackson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

035435 Issued in NY

Practice address

131 Drumlin CT
Newark, NY 14513-1863

Phone

(315) 332-7400

NPI assigned

Jun 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Cassidy Siwik Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Associated Occupational Therapists, Inc.

  • Physical Therapist
  • Coraopolis, PA
  • NPI 1245257906
  NPD (past)
• Treehouse Speech and Rehabilitation LLC

  • Clinic/Center
  • Ellwood City, PA
  • NPI 1477800670
  NPD (past)

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1538890835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WATSON DR",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150861110",
            "telephone_number": "412-552-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DRUMLIN CT",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131863",
            "telephone_number": "315-332-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CASSIDY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "11152",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "035435",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "016376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "SIWIK",
            "credential": "MS., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Ingersoll, OTR/L
• Emily Kathryn Intini
• Chiquita Irvin
• Thomas William Jackson MSPT, PT
• Bridgett Jackson
• Kara James
• Nadia Jamil, M.D.
• Jessica Jarnot
• Michael Jarzynka
• Jamie Lee Jeffrey, L.P.N

• Speech-Language Pathologist in Newark, NY
• Providers in Newark, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.