Healthcare Provider Details

I. General information

NPI: 1942005210
Provider Name (Legal Business Name): CASSIDY RAE MORRISON LLBSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 COBB ST
CADILLAC MI
49601-2540
US

IV. Provider business mailing address

9285 HOLLISTER RD
FIFE LAKE MI
49633-9396
US

V. Phone/Fax

Practice location:
  • Phone: 231-775-3463
  • Fax:
Mailing address:
  • Phone: 231-715-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6852094239
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: