Individual provider Active NPI

Christina F Cassidy, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1760724710
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16620 Issued in FL
Practice address
1605 W University Pkwy Ste 102
Sarasota, FL 34243-2732
Phone
(508) 733-7193
NPI assigned
Mar 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW16620 FL Primary

Addresses

Primary practice location

1605 W University Pkwy Ste 102
Sarasota, FL 34243-2732

Mailing address

7209 Southgate CT
Sarasota, FL 34243-5331
Phone (508) 733-7193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200117001188 FL Practitioner - Clinical Social Worker 8426232000 Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Sarasota, FL 34243
Phone (508) 733-7193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7847FLMDPsychologist
SW16620FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East West Therapy, LLC Clinical CurrentSince Nov 19, 2023 Accepting new patients
Transformative Healthcare Solutions Inc Clinical CurrentSince Mar 23, 2020 Accepting new patients
Pro Performance Physical Therapy LLC Single Specialty PastSince Jun 26, 2019 Accepting new patients

Locations

624 S Atlantic Ave
Daytona Beach, FL 32118
Phone (386) 258-5116

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

1515 Tamiami Trl S
Ste 5
Venice, FL 34285
Phone (732) 201-6900

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": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1760724710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 SOUTHGATE CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342435331",
            "telephone_number": "508-733-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W UNIVERSITY PKWY STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432732",
            "telephone_number": "508-733-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CHRISTINA",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.