Organization Active NPI

Cassandra McConn Inc

  • Social Worker
  • Bloomington, IN
National Provider Identifier
1629370812
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CASSANDRA MCCONN INC
Practice address
3716 E Cameron Ave
Bloomington, IN 47401-4212
Phone
(812) 331-7399
Fax
(812) 334-3438
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Cassandra Jane McConn, DCSW, QCSW, ACSW
Title
Owner
Phone
(812) 331-7399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3716 E Cameron Ave
Bloomington, IN 47401-4212

Mailing address

3716 E Cameron Ave
Bloomington, IN 47401-4212
Phone (812) 331-7399

Other names 1

  • McConn Partnerships Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1629370812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 E CAMERON AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014212",
            "telephone_number": "812-331-7399",
            "fax_number": "812-334-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 E CAMERON AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014212",
            "telephone_number": "812-331-7399",
            "fax_number": "812-334-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA MCCONN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MCCONN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-331-7399",
        "authorized_official_credential": "DCSW, QCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McConn Partnerships",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.