Active NPI
Cassindra Robl, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1770528614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3710
- Practice address
- 5500 E Kellogg Dr
Wichita, KS 67218-1607 - Phone
- (188) 887-8688
- Fax
- (620) 728-0823
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3710 | KS | Primary |
Addresses
Primary practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone (188) 887-8688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7964 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 0000070999 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1770528614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "188-887-8688",
"fax_number": "620-728-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "188-887-8688",
"fax_number": "620-728-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBL",
"first_name": "CASSINDRA",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "3710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYSTEMS",
"identifier": "7964",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000070999",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.