Individual provider Active NPI

Cassia M. Iglesias, LCSW

  • Clinical Social Worker
  • Munster, IN
National Provider Identifier
1720301328
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013962 Issued in IL
Practice address
8943 E Delaware Pkwy
Munster, IN 46321-3204
Phone
(708) 986-0055
Fax
(708) 249-0045
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 149013962 IL Primary

Addresses

Primary practice location

8943 E Delaware Pkwy
Munster, IN 46321-3204

Mailing address

8943 E Delaware Pkwy
Munster, IN 46321-3204
Phone (708) 986-0055

Other practice location 1

850 W Irving Park Rd
Ste 525
Chicago, IL 60613-3077
Phone (708) 986-0055

Other practice location 2

3232 Ridge Rd Ste 7
Lansing, IL 60438-3190
Phone (708) 986-0055

Other names 1

  • Cassia M Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000037 IL Practitioner - Clinical Social Worker 3678735156 Practice locations: Homewood, IL; Lansing, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeness Behavioral Health LLC Clinical CurrentSince May 25, 2021 Accepting new patients
Metropolitan Family Services Past Accepting new patients
Metropolitan Family Services Past Accepting new patients

Organizations & group practices 3

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1720301328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8943 E DELAWARE PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213204",
            "telephone_number": "708-986-0055",
            "fax_number": "708-249-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8943 E DELAWARE PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213204",
            "telephone_number": "708-986-0055",
            "fax_number": "708-249-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Irving Park Rd",
            "address_2": "Ste 525",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606133077",
            "country_code": "US",
            "telephone_number": "708-986-0055",
            "fax_number": "708-249-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3232 Ridge Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IL",
            "postal_code": "604383190",
            "country_code": "US",
            "telephone_number": "708-986-0055",
            "fax_number": "708-249-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "CASSIA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIA",
            "last_name": "JOHNSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.