Healthcare Provider Details

I. General information

NPI: 1104511161
Provider Name (Legal Business Name): CASSIE ZALESKI MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22347 NORTHWESTERN PIKE
ROMNEY WV
26757-6343
US

IV. Provider business mailing address

PO BOX 97
BAKER WV
26801-0097
US

V. Phone/Fax

Practice location:
  • Phone: 304-822-3838
  • Fax:
Mailing address:
  • Phone: 48-975-9153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBP00947149
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW140037
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: