Healthcare Provider Details

I. General information

NPI: 1417849381
Provider Name (Legal Business Name): CASSIE LYNN MCCASLIN LCPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WATERMAN DR
SOUTH PORTLAND ME
04106-2880
US

IV. Provider business mailing address

100 WATERMAN DR
SOUTH PORTLAND ME
04106-2880
US

V. Phone/Fax

Practice location:
  • Phone: 207-805-0181
  • Fax: 207-742-1779
Mailing address:
  • Phone: 207-805-0131
  • Fax: 207-742-1779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberXL7934
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: