Tracy Cassity, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4136-C Issued in NV

Practice address

1538 Hwy 395 North
Gardnerville, NV 89410

Phone

(775) 782-3671

Fax

(775) 782-6639

NPI assigned

Dec 11, 2006

Last updated

Dec 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Nevada

  dba Douglas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardnerville, NV
  • NPI 1972684355
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1871653675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 REACTOR WAY STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024147",
            "telephone_number": "775-856-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 HWY 395 NORTH",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "775-782-3671",
            "fax_number": "775-782-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSITY",
        "first_name": "TRACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4136-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Dawn Carroll, M.D.
• Carson City Community Counseling Center
• Carson City Finance Dept. (Douglas County Community Health)
• Carson Valley Medical Center Rural Health Clinic
• Carson Valley Senior Living LLC
• Rachel Angeline Castaneda
• John J Cerny, RN, LADC
• Earlis Randall Champagne, RN
• Rebecca Chauvin
• Rachel Jean Britta Cherry

• Clinical Social Worker in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.