Cassandre Ackerman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 8494 Issued in FL

Practice address

Davita Dialysis
3997 South Nova Road
Port Orange, FL 32127-1230

Phone

(386) 761-7961

Fax

(386) 763-2150

NPI assigned

Jan 20, 2014

Sex

Female

Sole proprietor

Yes

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.

• Alterra Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Port Orange, FL
  • NPI 1568993947
  NPD (past)
• Volusia Renal Consultants LLC

  • Nephrology Physician
  • Port Orange, FL
  • NPI 1336479781
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2019.

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1831511203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279296",
            "telephone_number": "386-761-7961",
            "fax_number": "386-763-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DAVITA DIALYSIS",
            "address_2": "3997 SOUTH NOVA ROAD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321271230",
            "telephone_number": "386-761-7961",
            "fax_number": "386-763-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "CASSANDRE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abee Psychiatry
• Alaa Abou-Arab
• Adrian Edward Abrahams, D.M.D.
• Anthony Andrew Acabbo, DPT
• Jonathan Xavier Acevedo Nieves
• Activefit Rehab Physical Therapy LLC
• Acubirthing, Inc
• Adam and Or Lori Sainato LLC
• Marijo Danee Adamcik, D.C.
• Candice Adams

• All providers in Port Orange, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.