Healthcare Provider Details

I. General information

NPI: 1821925629
Provider Name (Legal Business Name): CASSANDRA HAW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1141 CLAY AVE STE 3
DUNMORE PA
18510-1191
US

IV. Provider business mailing address

825 N IRVING AVE
SCRANTON PA
18510-1315
US

V. Phone/Fax

Practice location:
  • Phone: 570-892-1236
  • Fax:
Mailing address:
  • Phone: 215-833-7703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: