Cassidy, Shelagh Marie

Cassidy, Shelagh Marie is an individual health care provider with primary practice located at 496 Southland Dr , Lexington KY 40503-1827. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cassidy, Shelagh Marie can be contacted via phone (859) 288-2425.

Contact Information

Primary practice address
496 Southland Dr Lexington KY 40503-1827
Phone: (859) 288-2425
Fax: (859) 288-7516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X KY1401 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X KY1401 Kentucky

Profile Details

NPI number 1467445056
LBN Legal business name Cassidy, Shelagh Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467445056 NPPES
Kentucky MEDICAID 7100276590

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