Individual provider Active NPI

Cassidy C Anderson, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1871867101
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024007277 Issued in MO
Practice address
1855 W Irving Park Rd
Schaumburg, IL 60193-3516
Phone
(630) 893-5570
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011233 IL
Clinical Social Worker 1041C0700X 2024007277 MO Primary

Addresses

Primary practice location

1855 W Irving Park Rd
Schaumburg, IL 60193-3516

Mailing address

1855 W Irving Park Rd
Schaumburg, IL 60193-3516
Phone (630) 893-5570

Other practice location 1

3825 S Noland Rd
Independence, MO 64055-3344
Phone (224) 239-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220608002367 IL Practitioner - Clinical Social Worker 3779961446 Reassigns benefits to 2 organizations
I20240403003815 MO Practitioner - Clinical Social Worker 3779961446 Reassigns benefits to 1 organization
I20240829003402 OK Practitioner - Clinical Social Worker 3779961446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
82.62
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011233ILMDClinical Social Worker
2024007277MOMDClinical Social Worker
21034OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Clinical CurrentSince Mar 14, 2024 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Clinical CurrentSince May 25, 2022 Accepting new patients
Minuteclinic Diagnostic of Oklahoma LLC CurrentSince Aug 6, 2024 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

3637 N Southport Ave
Chicago, IL 60613
Phone (773) 347-5282

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1855 W Irving Park Rd
Schaumburg, IL 60193
Phone (630) 893-5570

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

1040 SW 19th St
Moore, OK 73160
Phone (405) 794-3001

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1871867101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W IRVING PARK RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933516",
            "telephone_number": "630-893-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W IRVING PARK RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933516",
            "telephone_number": "630-893-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 S Noland Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640553344",
            "country_code": "US",
            "telephone_number": "224-239-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CASSIDY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011233",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024007277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.