Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassidy Jackson, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1538890835

Cassidy Jackson, MS, CCC-SLP is a Speech-Language Pathologist in Newark, New York. Licensed in Maryland, New York and Pennsylvania. Registered with an NPI since 2022.

Licensed in
MD, NY, PA
In the registry since
2022
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

131 Drumlin Ct
Newark, NY 14513-1863
Phone: (315) 332-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 035435 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 11152 (MD)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 016376 (PA)

Record details

NPI number1538890835
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 19, 2022
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address105 Watson Dr, Warrendale, PA 15086-1110

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