CASSANDRA LYN REILLY (MSW, LCSW) – Clinical Social Worker, NPI 1174204523

CASSANDRA LYN REILLY (MSW, LCSW) is a healthcare provider. based in Sheboygan, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. The NPI Number for CASSANDRA LYN REILLY (MSW, LCSW) is 1174204523

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA LYN REILLY (MSW, LCSW)
NPI
1174204523
Phone
(920) 946-9628
Address
703 N 27TH ST
Enumeration Date
28 July 2023
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158429500
Graduation Year
2019 (7 years ago)
PAC ID
7113367780
Group Practice PAC ID
8628409885
Professional Enrollment ID
I20240430001055
Address ID
WI544013930WA630XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for CASSANDRA LYN REILLY (MSW, LCSW)

  • 703 N 27TH ST

    SHEBOYGAN, WI 530813604

    Phone: (920) 946-9628

    Type: Mailing

  • 1245 CHEYENNE AVE STE 200

    GRAFTON, WI 530249323

    Phone: (262) 233-1818

    Fax: (262) 421-8681

    Type: Location

  • 1011 N 8th St

    Sheboygan, WI 530814006

    Phone: (920) 459-3207

    Fax: (920) 459-4353

    Type: Location

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: 2024-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240430001055IClinical Social WorkerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53081)

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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: 8628409885View full group profile
NameSpecialtyState
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical PsychologistWI
Clinical PsychologistCO
Mental Health CounselorWI
Clinical PsychologistWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I verify CASSANDRA LYN REILLY (MSW, LCSW) with an NPI only?
You can start verification with NPI 1174204523 for CASSANDRA LYN REILLY (MSW, LCSW), then check state licensing separately.
Does the file indicate CASSANDRA LYN REILLY (MSW, LCSW) is practicing under active NPI?
Directory data currently reports CASSANDRA LYN REILLY (MSW, LCSW) as active.
What is CASSANDRA LYN REILLY (MSW, LCSW)'s specialty?
The listing groups CASSANDRA LYN REILLY (MSW, LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect CASSANDRA LYN REILLY (MSW, LCSW) on a map?
Expect Sheboygan, Wisconsin as a primary anchor for CASSANDRA LYN REILLY (MSW, LCSW) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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