CASSIE MAE PUCKETT LCSW LCADC NPI 1043859762

NPI Information

NPI: 1043859762
Provider Name: CASSIE MAE PUCKETT, LCSW, LCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1100 WALNUT ST
OWENSBORO, KY
ZIP 42301
Phone: (270) 689-6500
Get Directions

Cassie Mae Puckett, LCSW, LCADC is an addiction (substance use disorder) counselor in Owensboro, KY. Cassie Mae Puckett, LCSW, LCADC NPI is 1043859762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 WALNUT ST
OWENSBORO, KY
ZIP 42301-956
Phone: (270) 689-6500
Fax: (270) 689-6677

The NPI 1043859762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/27/2019 and was last updated on 3/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		254407	KENTUCKY	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	281314	KENTUCKY	Yes
3	1041C0700X	Social Worker	Clinical	257753	KENTUCKY	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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