Healthcare Provider Details

I. General information

NPI: 1861901175
Provider Name (Legal Business Name): CASSANDRA LYN HOVET MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2017
Last Update Date: 02/07/2024
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 S WASHINGTON ST STE 3
GRAND FORKS ND
58201-6341
US

IV. Provider business mailing address

2017 S WASHINGTON ST STE 3
GRAND FORKS ND
58201-6341
US

V. Phone/Fax

Practice location:
  • Phone: 701-757-3338
  • Fax: 701-738-1118
Mailing address:
  • Phone: 701-757-3338
  • Fax: 701-738-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27694
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5998
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: