Cassidy Brooke Williams, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

2022045638 Issued in MO

Practice address

172 Dare Blvd
Camdenton, MO 65020-5558

Phone

(573) 346-5651

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cassidy Brooke Call Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1881464774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 DARE BLVD",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650205558",
            "telephone_number": "573-346-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 DARE BLVD",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650205558",
            "telephone_number": "573-346-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CASSIDY",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": "2022045638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "CALL",
            "middle_name": "BROOKE",
            "prefix": "MRS.",
            "credential": "SLP-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vicki L Waring, DDS
• McKayla Wheeler, HIS
• Jessica Ann Whitworth, NP-C
• Jenna Marie Wieberg, PHARMD
• Wilkinson Pharmacy, Inc
• Matthew Wohl, LMSW

• Speech-Language Assistant in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Speech-Language Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.