Cassandra Smith, MSW, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2915 Issued in NE

Practice address

12110 Port Grace Blvd Ste 101
La Vista, NE 68128-3190

Phone

(402) 645-0038

NPI assigned

Jun 28, 2022

Last updated

Aug 15, 2024By the provider in NPPES

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 NE

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dymphna Holdings IncGroup PAC ID 1254863442, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dymphna Holdings, Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • La Vista, NE
  • NPI 1306681861
  Medicare reassignment Care Compare group NPD
• Lunar Serenity Wellness LLC

  • Adult Mental Health Clinic/Center
  • Omaha, NE
  • NPI 1942172226
  NPD Authorized official
• True Balance Therapy & Wellness LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1376348318

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1730811605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 PORT GRACE BLVD STE 101",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283190",
            "telephone_number": "402-645-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 PORT GRACE BLVD STE 101",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283190",
            "telephone_number": "402-645-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10484 Spaulding St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681343741",
            "country_code": "US",
            "telephone_number": "531-233-7493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSANDRA",
        "credential": "MSW, LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1596",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terr'Yana Lashae Sills
• Haylen Sims
• Daniel Sindjou
• Sizewise Rentals LLC
• Synthia Faye Skipper
• Erica Smith
• Taurus Smith
• Jennifer Daniele Smithberg
• Chelsea Snider
• Jill Snodgrass, ED. S.

• Clinical Social Worker in La Vista, NE
• Providers in La Vista, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.