Healthcare Provider Details

I. General information

NPI: 1164153144
Provider Name (Legal Business Name): CASSANDRA RAMPINO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WRANGLER LN
WALL TOWNSHIP NJ
07727-4604
US

IV. Provider business mailing address

4 WRANGLER LN
WALL TOWNSHIP NJ
07727-4604
US

V. Phone/Fax

Practice location:
  • Phone: 732-320-0375
  • Fax:
Mailing address:
  • Phone: 732-320-0375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116458
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101534-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: