Organization Active NPI

Wendi Cassand, LCSW, Cap, LLC

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1770727042
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6833 Issued in FL
Legal business name
WENDI CASSAND, LCSW, CAP, LLC
Practice address
4821 NE 5TH Ter
Suite a
Fort Lauderdale, FL 33334-2326
Phone
(954) 650-1706
Fax
(954) 267-9567
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Wendi Lauren Cassand, LCSW, CAP, LLC
Title
President
Phone
(954) 650-1706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2428W FL
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW6833 FL Primary

Addresses

Primary practice location

4821 NE 5TH Ter
Suite a
Fort Lauderdale, FL 33334-2326

Mailing address

4821 NE 5TH Ter
Suite a
Fort Lauderdale, FL 33334-2326
Phone (954) 650-1706

Other identifiers 1

IdentifierTypeStateIssuer
764958400MedicaidFL

National Provider Directory

National Provider Directory

Locations

1489 W Palmetto Park Rd
Ste 323
Boca Raton, FL 33486
Phone (954) 650-1706

4722 NW 2nd Ave
Ste C104
Boca Raton, FL 33431
Phone (954) 650-1706

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1770727042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 NE 5TH TER",
            "address_2": "SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333342326",
            "telephone_number": "954-650-1706",
            "fax_number": "954-267-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 NE 5TH TER",
            "address_2": "SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333342326",
            "telephone_number": "954-650-1706",
            "fax_number": "954-267-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDI CASSAND, LCSW, CAP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "CASSAND",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-650-1706",
        "authorized_official_credential": "LCSW, CAP, LLC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2428W",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764958400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.