Cassandra Juanita Martin-Weiler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203764-SUPV Issued in OH

Practice address

11630 Broad St SW
Pataskala, OH 43062-8195

Phone

(614) 329-6218

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resilience Is Mine Therapy & Consulting Services, LLC

  • Clinical Social Worker
  • Pataskala, OH
  • NPI 1245053412
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, OH

  Medicare reassignment NPD
• Pressley Ridge

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1588793418
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1730679556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BRICE RD UNIT 133",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430041507",
            "telephone_number": "614-329-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 BROAD ST SW",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628195",
            "telephone_number": "614-329-6218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7162 Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452373838",
            "country_code": "US",
            "telephone_number": "614-329-6218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN-WEILER",
        "first_name": "CASSANDRA",
        "middle_name": "JUANITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S27221",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203764-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine May Lycans
• Jackson W Lyimo
• Laura M Mackner, PH.D
• Amanda Marie Majoros, CNP
• Sonja Nicole Marino, FNP-C
• Sandra Nohemi Martinez, MSW, LSW
• Mary A Mascari, LPN
• James W Mason, OD
• Theresa Louise Mason, PHD, CRNP
• Massa Massaquoi

• Clinical Social Worker in Pataskala, OH
• Providers in Pataskala, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.