Individual provider Active NPI

Cassandra Chance Davidson Blum, LCSW: CW025688

  • Clinical Social Worker
  • Fleetwood, PA
National Provider Identifier
1790283554
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025688 Issued in PA
Practice address
1 W Main St
Fleetwood, PA 19522-1323
Phone
(484) 578-9600
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW025688 PA Primary

Addresses

Primary practice location

1 W Main St
Fleetwood, PA 19522-1323

Mailing address

1502 Center St
Bethlehem, PA 18018-2507
Phone (484) 707-1909

Other practice location 1

1502 Center St
Bethlehem, PA 18018-2507
Phone (484) 282-0338

Other identifiers 1

IdentifierTypeStateIssuer
CW025688OtherPALCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250611002855 PA Practitioner - Clinical Social Worker 9234649856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concern-Professional Services for Children, Youth and FamiliesGroup PAC ID 2769659945, 23 clinicians

Practice addresses (Care Compare)

90 S Commerce Way
Suite 300
Bethlehem, PA 18017-8611
Phone (610) 691-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW025688PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Concern Professional Services for Children, Youth & Families CurrentSince Jun 1, 2025 Accepting new patients
Concern-Professional Services for Children, Youth & Families Current Accepting new patients
Concern-Professional Services for Children, Youth & Families CurrentSince Jun 1, 2025 Accepting new patients
Chance to Blume, LLC Clinical Past Accepting new patients

Locations

90 S Commerce Way
Ste 300
Bethlehem, PA 18017
Phone (610) 691-0647

175 S 21st St
Easton, PA 18042
Phone (610) 253-4898

175 S 21st St
Ste 2
Easton, PA 18042
Phone (484) 896-9990

1 W Main St
Fleetwood, PA 19522

63 3rd St
Ste 103
Mansfield, PA 16933
Phone (570) 622-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1790283554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 CENTER ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182507",
            "telephone_number": "484-707-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "484-578-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Center St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180182507",
            "country_code": "US",
            "telephone_number": "484-282-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "CASSANDRA",
        "middle_name": "CHANCE DAVIDSON",
        "credential": "LCSW: CW025688",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "CW025688",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

Verify at the official NPI Registry.