=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114468337
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANNA M CASSAR, LMSW, ACSW, CAADC, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2017
-----------------------------------------------------
Last Update Date | 03/07/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24110 MEADOWBROOK RD STE 114
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48375-3459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-270-2829
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24110 MEADOWBROOK RD
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48375-3459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-270-2829
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOCIAL WORKER
-----------------------------------------------------
Name | ANNA M CASSAR
-----------------------------------------------------
Credential | LMSW, ACSW, CAADC
-----------------------------------------------------
Telephone | 248-345-1280
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | 6801046989
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------