KELLY PATRICK CASSIDY
NPI 1194048330
Case Manager/Care Coordinator in Los Lunas, NM

Q: What is Kelly Cassidy's NPI number?

The NPI number for Kelly Cassidy is 1194048330. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Q: What is Kelly Cassidy's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Cassidy was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.

Active since March 02, 2010

735 DON PASQUAL RD NW, LOS LUNAS, NM 87031(505) 865-3350(505) 865-4739 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Patrick Cassidy NPPES

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

KELLY PATRICK CASSIDY (NPI 1194048330) is an individual case manager/care coordinator provider in Los Lunas, New Mexico and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1194048330

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKELLY PATRICK CASSIDY

Location Address735 DON PASQUAL RD NWLos Lunas, NM 87031-8493

Mailing AddressPo Box 518Los Lunas, NM 87031-0518 · (505) 865-3350 · Fax (505) 865-4739

Phone(505) 865-3350

Fax(505) 865-4739

Sole ProprietorNo

Enumeration DateMarch 2, 2010

✔ NPI 1194048330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

735 DON PASQUAL RD NW, Los Lunas, NM 87031

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Other Identifiers 1

Medicaid44842NM

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.

JENNIFER FERRY LMSW

Counselor (Mental Health)