ANNETTE CASSIDY (CSW) – Clinical Social Worker, NPI 1235188517

ANNETTE CASSIDY (CSW) is a healthcare provider. based in South bend, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials CSW. They hold a License No. 34003704 (IN). The NPI Number for ANNETTE CASSIDY (CSW) is 1235188517

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
ANNETTE CASSIDY (CSW)
NPI
1235188517
Phone
(574) 283-1107
Address
403 E Madison St
Enumeration Date
6 May 2006
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5745461900
Graduation Year
1994 (32 years ago)
PAC ID
1254630643
Group Practice PAC ID
4486676095
Professional Enrollment ID
I20160506001166
Address ID
IN463071877CR2100XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

Provider Addresses for ANNETTE CASSIDY (CSW)

  • 403 E Madison St

    South Bend, IN 466172322

    Phone: (574) 283-1107

    Fax: (574) 283-1131

    Type: Location

  • 21 E State St

    Columbus, OH 432154281

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Location

  • 304, North Main Street, Crown Point, Lake County, Indiana, 46307, United States

    CROWN POINT, IN 463071877

    Phone: (574) 546-1900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160506001166IClinical Social WorkerINTBD
I20230106001798IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes1,665257$0
90785Psychiatric services complicated by communication factor1,129199$0
90834Psychotherapy, 45 minutes6031$0
90791Psychiatric diagnostic evaluation5757$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486676095View full group profile
NameSpecialtyState
Nurse PractitionerIN
Clinical Social WorkerIN
-IN
Nurse PractitionerKS
Clinical Social WorkerIN
Clinical Social WorkerIN
Clinical Social WorkerKS
Nurse PractitionerIN
Nurse PractitionerIN
-IN

Reviews

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Frequently asked questions

What is the registry number for ANNETTE CASSIDY (CSW)?
The registry entry for ANNETTE CASSIDY (CSW) shows NPI 1235188517.
Is ANNETTE CASSIDY (CSW) currently accepting referrals based on NPI status?
Registry metadata lists ANNETTE CASSIDY (CSW) as active.
What type of care does ANNETTE CASSIDY (CSW) provide?
ANNETTE CASSIDY (CSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit ANNETTE CASSIDY (CSW) in South Bend, Indiana?
For routing, start with South Bend, Indiana for ANNETTE CASSIDY (CSW), then verify phone and hours locally.
Why is information missing for ANNETTE CASSIDY (CSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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