Active NPI
Gina Maria Cassidy, LCSW,BCB
- Clinical Social Worker
- Flower Mound, TX
National Provider Identifier
1952591265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50435
- Practice address
- 4012 Caruth CT
Flower Mound, TX 75022-2868 - Phone
- (972) 355-4642
- NPI assigned
- Aug 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50435 | IL | Primary |
Addresses
Primary practice location
4012 Caruth CT
Flower Mound, TX 75022-2868
Mailing address
4012 Caruth CT
Flower Mound, TX 75022-2868
Phone (972) 355-4642
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 |
|---|---|---|---|
| 50435 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1952591265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 CARUTH CT",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750222868",
"telephone_number": "972-355-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 CARUTH CT",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750222868",
"telephone_number": "972-355-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "GINA",
"middle_name": "MARIA",
"credential": "LCSW,BCB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "50435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.