Cassandra Golden Kruse, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.500200 Issued in OH

Practice address

1445 North Scott Street
#620
Napoleon, OH 43545-1049

Phone

(419) 592-4357

NPI assigned

Aug 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Cassandra Jane McConn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1932576956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G393 COUNTY ROAD II",
            "city": "HAMLER",
            "state": "OH",
            "postal_code": "435248701",
            "telephone_number": "419-592-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NORTH SCOTT STREET",
            "address_2": "#620",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451049",
            "telephone_number": "419-592-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "CASSANDRA",
        "middle_name": "GOLDEN",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "LE.00021539",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.500200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "MCCONN",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Kolvey
• Megan Lynn Koppenhofer
• Samantha Krauss
• Hope Kromer
• Joseph S Krueger, MD
• Lane Drug Co (Rite Aid Pharmacy 02313)
• Susan M Lane-Baldwin, LISW
• Belinda M Laney, CNP
• Cari Langenderfer, ED.S.
• Roger T. Latta, R. PH.

• Clinical Social Worker in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.