Clinical Supervision Solutions

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLINICAL SUPERVISION SOLUTIONS

Practice address

1401 21St St # 10048
Sacramento, CA 95811-5226

Phone

(757) 272-8765

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Cassidy Kobialka, M.S., CCC-SLPNPI 1619421492

Title

Speech Language Pathologist/ Owner

Phone

(757) 272-8765

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassidy A Kobialka, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Colfax, WA
  • NPI 1619421492
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1649037979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 21ST ST # 10048",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST # 10048",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "757-272-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Coffeen Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015777",
            "country_code": "US",
            "telephone_number": "757-272-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL SUPERVISION SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "KOBIALKA",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "757-272-8765",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Denise Cline, MFT, CADC II
• Franklin S Cline Jr., PA-C
• Noah Cline
• James H. Clingan, M.D.
• Sharon Clinger
• Alexandria Kiara Clinkscales
• Regina Elizabeth Clinton, LPT/RRW
• Dolores Caba Clippinger, R.N.
• Wiligene Clitus
• Paul Norman Cloninger, M.D.

• In Home Supportive Care Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.