MEDICARE: CASSANDRA MARCHEGGIANI, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1598263881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASSANDRA MARCHEGGIANI, LLC

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-0130
Country	:	US
Telephone Number	:	720-933-1673
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 BRISTOL ST FL 1
Second Line	:
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-4506
Country	:	US
Telephone Number	:	720-933-1673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CASSANDRA MARCHEGGIANI MARCHEGGIANI
Credential	:	LCSW
Telephone Number	:	860-799-4545

Provider Enumeration Date	:	02/01/2018
Last Update Date	:	05/27/2026

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