Active NPI
Randy E Cassidy, LCSW-C
- Clinical Social Worker
- Chestertown, MD
National Provider Identifier
1609046952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4397
- Practice address
- 300 Scheeler Rd
Chestertown, MD 21620-1014 - Phone
- (410) 778-6800
- Fax
- (410) 778-7344
- NPI assigned
- Mar 3, 2008
- Last updated
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4397 | MD | Primary |
Addresses
Primary practice location
300 Scheeler Rd
Chestertown, MD 21620-1014
Mailing address
PO Box 229
Chestertown, MD 21620-0229
Phone (410) 778-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4397 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1609046952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216200229",
"telephone_number": "410-778-6800",
"fax_number": "410-778-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SCHEELER RD",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201014",
"telephone_number": "410-778-6800",
"fax_number": "410-778-7344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "RANDY",
"middle_name": "E",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "4397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
- Shyteria Byrd
- Patrick E Callahan, MD
- Pamela D Cambardella, LCSW-C
- Teresa Campos, PA-C
- Capricorn Health LLC (Capricorn Health)
- Tera Louise Cathers, LPN
- Centers for Advanced Orthopaedics LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.