Active NPI
Cassandra Nichole Perry, MSW, RCSWI
- Social Worker
- Lakeland, FL
National Provider Identifier
1720828882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW19138
- Practice address
- 4024 Shearwater St
Lakeland, FL 33811-2692 - Phone
- (813) 838-1768
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW19138 | FL | Primary |
Addresses
Primary practice location
4024 Shearwater St
Lakeland, FL 33811-2692
Mailing address
4024 Shearwater St
Lakeland, FL 33811-2692
Phone (813) 838-1768
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW19138 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1720828882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 SHEARWATER ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338112692",
"telephone_number": "813-838-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 SHEARWATER ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338112692",
"telephone_number": "813-838-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CASSANDRA",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "MSW, RCSWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW19138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.