Kalie Anne Cassidy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121882 Issued in MA

Practice address

768 Boston Rd
Billerica, MA 01821-5925

Phone

(978) 254-1702

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Magnolia Mental Health, LLC

  • Mental Health Counselor
  • Chelmsford, MA
  • NPI 1245991231
  NPD Authorized official

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1700148244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HAMPSTEAD AVE",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621109",
            "telephone_number": "603-321-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215925",
            "telephone_number": "978-254-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 E Merrimack St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521900",
            "country_code": "US",
            "telephone_number": "603-321-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "KALIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambridge Urological Associates, Inc
• Daniel Campbell
• Cardinal EMS
• Care Beyond Healthcare and Staffing Agency Inc
• Tiffany L Carlson, LPN
• Paul R Cedrone, D.M.D.
• Yakup Cevik
• Kunio Kwok-Hung Chan, D.M.D.
• Sanford Neil Chapnick, D.C.
• Chu J Chen, MD

• Clinical Social Worker in Billerica, MA
• Providers in Billerica, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.