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NPI Code Detail

MEDICARE: MS. CYNTHIA ANNE CASSANO LCSW

MEDICARE:  MS. CYNTHIA ANNE CASSANO  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS12600CA

General Provider Information

NPI Number : 1033306634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA ANNE CASSANO LCSW
Provider Business Mailing Address
First Line : 1730 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3017
Country : US
Telephone Number : 916-449-1499
Fax Number : 916-449-6059
Provider Business Practice Location Address
First Line : 1730 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3017
Country : US
Telephone Number : 916-449-1499
Fax Number : 916-449-6059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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Directions to “ MS. CYNTHIA ANNE CASSANO LCSW” Practice Location

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