Individual provider Active NPI

Sylvia Smolenski Cassady

  • Social Worker
  • Springfield, IL
National Provider Identifier
1962504308
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
386 S Koke Mill Rd
Suite 204
Springfield, IL 62711-8058
Phone
(217) 553-4662
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

386 S Koke Mill Rd
Suite 204
Springfield, IL 62711-8058

Mailing address

2801 Blackwater Blvd
Springfield, IL 62712-8313
Phone (217) 553-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 31, 2017 through Jan 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1962504308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BLACKWATER BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627128313",
            "telephone_number": "217-553-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 S KOKE MILL RD",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118058",
            "telephone_number": "217-553-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSADY",
        "first_name": "SYLVIA",
        "middle_name": "SMOLENSKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.