CASSANDRA TIBBITS


Address: 100 Kenyon Ave, Wakefield, RI 02879-4216
Phone: 4017828000

CASSANDRA TIBBITS (NPI# 1013421858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013421858
Entity Type Individual
Full Name CASSANDRA TIBBITS
Other Name CASSANDRA STUKUS
Practice Address 100 Kenyon Ave
Wakefield
RI 02879-4216
Mailing Address 14 Woodruff Ave
Narragansett
RI 02882-3476
Practice Telephone 4017828000
Mailing Telephone 4015950689
Enumeration Date 2017-11-30
Last Update Date 2017-11-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 100 KENYON AVE
City WAKEFIELD
State RI
Zip Code 02879-4216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285618009 Kimberly Ann Cox Anesthesiology 100 Kenyon Ave, Wakefield, RI 02879-4216 2005-12-05
1639786619 Holly B. Fuscaldo Social Worker 100 Kenyon Ave, Wakefield, RI 02879 2020-09-24
1851900286 Silver Spring Health Care Management, Inc Radiology 100 Kenyon Ave, Wakefield, RI 02879-4216 2020-07-31
1003442476 Michaella Elizabeth Marzullo Physician Assistant 100 Kenyon Ave, Wakefield, RI 02879-4299 2020-03-18
1023669264 Mollie Jean Garrison Nurse Practitioner 100 Kenyon Ave, Wakefield, RI 02879-4216 2019-09-27
1972163137 Stephanie Maggs Nurse Practitioner 100 Kenyon Ave, Wakefield, RI 02879-4216 2019-06-19
1346730280 Silver Spring Health Care Management, Inc Nurse Practitioner 100 Kenyon Ave, Wakefield, RI 02879-4216 2018-05-16
1568975266 Emily Kay Fails Nurse Practitioner 100 Kenyon Ave, Wakefield, RI 02879 2017-11-16
1992224497 Silver Spring Health Care Management, Inc. Nurse Practitioner 100 Kenyon Ave, Wakefield, RI 02879-4216 2017-09-15
1184174252 Silver Spring Health Care Management, Inc. Nurse Practitioner 100 Kenyon Ave, Wakefield, RI 02879-4216 2016-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831549435 Bh Brightview Commons Opco, LLC Alzheimer Center (Dementia Center) 57 Grandeville Court, Wakefield, RI 02879 2016-06-15
1215392071 Leslie Healy Occupational Therapist 12 Galleon Ct, Wakefield, RI 02879 2015-12-22
1649673799 Peter Storti Clinic/Center 28 Columbia Street, Wakefield, RI 02879 2014-10-03
1285988790 Silver Spring Health Care Management, Inc. Physician Assistant 70 Kenyon Ave Unit 321, Wakefield, RI 02879 2012-11-06
1013271584 Amy Lee Barker Speech-Language Pathologist 213 Robinson Street, Wakefield, RI 02879 2012-06-29
1366708489 Paige Houlihan Student in an Organized Health Care Education/Training Program 91 Rocky Brook Way St, Wakefield, RI 02879 2012-04-03
1639307176 Perspectives Corporation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 53 Dockray Street, Wakefield, RI 02879 2009-06-23
1649482233 Marilyn A. Cooney Speech-Language Pathologist 307 Curtis Corner Road, Wakefield, RI 02879 2007-05-04
1518184522 Keeley Therese Dante-card Registered Nurse 55 Cherry Lane, Wakefield, RI 02879 2007-04-19
1679799217 Codac Inc Peer Specialist 350 Columbia St, Codac South County, Wakefield, RI 02879 2007-04-18
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083151930 Erin Lasker Social Worker 97 Gould St, Wakefield, MA 01880-2656 2017-01-30
1467768473 Adam John Taylor Social Worker 24 Putnam Ave, Wakefield, MA 01880-1436 2010-08-27
1851590293 Tara Marie Miller Social Worker 103 W Us 2, Gogebic County Community Mental Health, Wakefield, MI 49968-9539 2007-07-16
1396359048 Jenna Fingeroos Social Worker 103 W Us Highway 2, Wakefield, MI 49968-9515 2020-09-01
1225513047 Lori Ann Montello Social Worker 27 Water St, Wakefield, MA 01880-3032 2018-09-27
1417445982 Kenneth Hansen Social Worker 103 W Us Highway 2, Wakefield, MI 49968-9515 2018-04-30
1548776081 Daniel Peter Tibaldo Social Worker 103 W Us Highway 2, Wakefield, MI 49968-9515 2017-12-20
1194231035 Leah Ruth Nikula Social Worker 103 W Us Highway 2, Wakefield, MI 49968-9515 2017-12-14
1942715867 Laurie Ann Niemi Social Worker 103 W Us Highway 2, Wakefield, MI 49968-9515 2017-12-14
1215442140 Richard Jay Maher Social Worker 103 W Us Highway 2, Wakefield, MI 49968-9515 2017-12-14
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Competitor

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City WAKEFIELD
Zip Code 02879

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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