Casandra Clukey, NURSE LPN
Individual provider Active NPI Licensed Practical Nurse · Orange, MA
NPI 1972230878 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1972230878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN889995 (MA)
- Practice address
- 74 Burrill Ave
Orange, MA 01364-1816 - Phone
- (413) 522-5157
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN889995 | MA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians PC | Past |
Accepting new patients | |
| Community Health Care, Inc. | Licensed Practical Nurse | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN889995 | MA | Yes |
Addresses
Primary practice location
74 Burrill Ave
Orange, MA 01364-1816
Mailing address
50 Miles St
Greenfield, MA 01301-3241
Phone (413) 774-3321
Other providers in Orange, MA
- Andrea Lee Callahan
- Jenna Rose Campbell
- Centralmassdentalgroup PC
- Gerald Chaskelson
- Audrey Diane Clark
- Amanda Colon
- Community Health Center of Franklin County Incorporated
- Community Health Center of Franklin County Incorporated
- Counseling and Therapy Center LLC
- Gabrielle Cox
All providers in Orange, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.