Active NPI
Casandre Worsdorfer, M.S. ATC
- Athletic Trainer
- Charleston, WV
National Provider Identifier
1922575562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001507
- Practice address
- 123 Presidio Pointe
Charleston, WV 25313-1591 - Phone
- (570) 460-5746
- NPI assigned
- Nov 1, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004764 | PA | |
| Athletic Trainer | 2255A2300X | AT001507 | WV | Primary |
Addresses
Primary practice location
123 Presidio Pointe
Charleston, WV 25313-1591
Mailing address
123 Presidio Pointe
Charleston, WV 25313-1591
Phone (570) 460-5746
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004764 | PA | MD | Athletic Trainer |
| AT001507 | WV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1922575562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 PRESIDIO POINTE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253131591",
"telephone_number": "570-460-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 PRESIDIO POINTE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253131591",
"telephone_number": "570-460-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSDORFER",
"first_name": "CASANDRE",
"credential": "M.S. ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004764",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WV",
"license": "AT001507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.