Healthcare Provider Details

I. General information

NPI: 1982051405
Provider Name (Legal Business Name): CASSANDRA PINDER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S CROSS ST
CHESTERTOWN MD
21620-4752
US

IV. Provider business mailing address

10500 WORTON RD
WORTON MD
21678-1823
US

V. Phone/Fax

Practice location:
  • Phone: 443-347-2014
  • Fax:
Mailing address:
  • Phone: 410-708-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC8521
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC8521
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0011265
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: