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CASSIDY DANIELLE MCCALLUM C061361108
NPI 1043020274
Counselor - Addiction (Substance Use Disorder) in Yakima, WA

Active since January 09, 2025
111 SOUTH 2ND AVE, YAKIMA, WA 98902(509) 575-2885 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Jan 9, 2025 (2 updates tracked since 2025).

About Cassidy Danielle Mccallum C061361108 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY DANIELLE MCCALLUM C061361108 (NPI 1043020274) is an individual addiction (substance use disorder) provider in Yakima, Washington, licensed in Washington (CO61361108) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1043020274
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCASSIDY DANIELLE MCCALLUMCredential: C061361108
Location Address111 SOUTH 2ND AVEYakima, WA 98902
Mailing Address403 Ruby AveGrandview, WA 98930-6103 · (360) 952-2430
Phone(509) 575-2885
Sole ProprietorNo
Enumeration DateJanuary 9, 2025
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1043020274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61361108
111 SOUTH 2ND AVE, Yakima, WA 98902
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Other Identifiers 1

Medicaid91-0948131WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TARA MARIE CHAMBERLAIN-BLOOM CG70025799
Counselor (Mental Health)
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
YARITZA HERNANDEZ CG61338484
Social Worker
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
DANIELLE WATKINS CP60081458
Counselor (Addiction (Substance Use Disorder))
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
VICTORIA BARAJAS CG70031211
Social Worker
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
JANETH PAOLA PENA-SERRANO MC61674441
Counselor (Mental Health)
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
YADIRA CUELLAR CG70101101
Counselor (Mental Health)
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
BRISEIDA GONZALEZ SC70036437
Social Worker
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885
KATIE GRACE GRUBENHOFF CG7008495
Counselor (Mental Health)
111 SOUTH 2ND AVE
YAKIMA, WA 98902
Yakima County (509) 575-2885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Mccallum's NPI number?

The NPI number for Cassidy Mccallum is 1043020274. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Cassidy Mccallum located?

Cassidy Mccallum practices at 111 South 2nd Ave, Yakima, WA 98902. The listed phone number is (509) 575-2885.

What is Cassidy Mccallum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cassidy Mccallum was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.