Individual provider Active NPI

Cassandra Crosby

  • Clinical Social Worker
  • Charlotte, MI
National Provider Identifier
1750033098
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116840 Issued in MI
Practice address
123 Lansing St
Charlotte, MI 48813-1696
Phone
(517) 543-0600
NPI assigned
Jan 18, 2022
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103759 CA
Clinical Social Worker 1041C0700X 6801116840 MI Primary

Addresses

Primary practice location

123 Lansing St
Charlotte, MI 48813-1696

Mailing address

123 Lansing St
Charlotte, MI 48813-1696

Other practice location 1

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250418001196 MI Practitioner - Clinical Social Worker 5597280859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103759CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Multi-Specialty Current Accepting new patients
Sparrow Eaton Hospital Multi-Specialty CurrentSince Jan 19, 2025 Accepting new patients
Sparrow Eaton Hospital Multi-Specialty CurrentSince Jan 19, 2025 Accepting new patients
Sparrow Eaton Hospital Multi-Specialty Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

111 Lansing St
Ste 230
Charlotte, MI 48813
Phone (517) 543-5110

123 Lansing St
Charlotte, MI 48813
Phone (517) 543-2020

123 Lansing St
Ste 3A
Charlotte, MI 48813
Phone (517) 543-0600

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1750033098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LANSING ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-543-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172201",
            "country_code": "US",
            "telephone_number": "916-734-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103759",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.