Active NPI
Cassidy L Thornton, LICSW
- Clinical Social Worker
- Raleigh, MS
National Provider Identifier
1891382685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW03924
- Practice address
- 26871 Highway 18 E
Raleigh, MS 39153-5129 - Phone
- (401) 263-8469
- NPI assigned
- Dec 28, 2020
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW02469 | RI | |
| Clinical Social Worker | 1041C0700X | ISW03924 | RI | Primary |
Addresses
Primary practice location
26871 Highway 18 E
Raleigh, MS 39153-5129
Mailing address
26871 Highway 18 E
Raleigh, MS 39153-5129
Phone (401) 263-8469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW02469 | RI | MD | Social Worker |
| ISW03924 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1891382685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26871 HIGHWAY 18 E",
"city": "RALEIGH",
"state": "MS",
"postal_code": "391535129",
"telephone_number": "401-263-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26871 HIGHWAY 18 E",
"city": "RALEIGH",
"state": "MS",
"postal_code": "391535129",
"telephone_number": "401-263-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "CASSIDY",
"middle_name": "L",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "RI",
"license": "CSW02469",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW03924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, MS
- Region Ten Commission on Mental Health (Weems Mental Health)
- Carol Darlene Richmond-Stephens, CRNP
- Smith County LTC, LLC
- St Dominic Medical Associates LLC (St Dominic Raleigh Family Practice)
- Phil Thompson, DO
- Tullos Family Dentistry, PA
- Stephanie Sullivan Tullos, DMD
- Kimberly Sharelle Watkins, FNP-C
- Vaniecia Wilson, DMD
- Alexandra Winn, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.