Individual provider Active NPI

Cassandra Stanisloo, MSW, LICSWA

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1700526886
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWIC.SC.61274225 Issued in WA
Practice address
504 S 3Rd Ave
Yakima, WA 98902-3543
Phone
(509) 469-3727
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWIC.SC.61274225 WA Primary

Addresses

Primary practice location

504 S 3Rd Ave
Yakima, WA 98902-3543

Mailing address

504 S 3Rd Ave
Yakima, WA 98902-3543
Phone (509) 469-3727

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SWIC.SC.61274225WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Integrated Health Services, LLC PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1700526886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S 3RD AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023543",
            "telephone_number": "509-469-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 3RD AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023543",
            "telephone_number": "509-469-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISLOO",
        "first_name": "CASSANDRA",
        "credential": "MSW, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIC.SC.61274225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.