MRS. CASSIE ROSE CARBON-ELLINGTON M.S. CCC-SLP NPI 1417181314

NPI Information

  • NPI: 1417181314
  • Provider Name: MRS. CASSIE ROSE CARBON-ELLINGTON, M.S., CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 10150 W. NATIONAL AVENUE
    SUITE 150
    MILWAUKEE, WI
    ZIP 53227
  • Phone: (800) 439-7012

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NPI Details

MRS. Cassie Rose Carbon-ellington, M.S., CCC-SLP is a speech language pathologist in Milwaukee, WI. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Cassie Rose Carbon-ellington, M.S., CCC-SLP NPI is 1417181314. 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:

10150 W. NATIONAL AVENUE
SUITE 150
MILWAUKEE, WI
ZIP 53227-555
Phone: (800) 439-7012
Fax: (888) 873-3992

The enumeration date for this NPI number is 5/6/2009 and was last updated on 8/1/2022.

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
1235Z00000XSpeech-Language Pathologist2573-154WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417181314MEDICAIDWISCONSIN

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: 3/30/2025

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