Healthcare Provider Details

I. General information

NPI: 1205796513
Provider Name (Legal Business Name): CASSANDRA JANE GEARIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SHAKER RD STE D221
SHIRLEY MA
01464-2535
US

IV. Provider business mailing address

6 CROWN DR UNIT 114
QUINCY MA
02169-5553
US

V. Phone/Fax

Practice location:
  • Phone: 617-823-2599
  • Fax:
Mailing address:
  • Phone: 203-464-6226
  • Fax: 203-464-6226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number228889
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: