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NPI Code Detail

MEDICARE: MR. MARK CASAGRANDE L.C.S.W

MEDICARE: MR. MARK CASAGRANDE L.C.S.W
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
11041C0700XClinical Social WorkerQ1-0000611DE

General Provider Information

NPI Number : 1649281338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK CASAGRANDE L.C.S.W
Provider Business Mailing Address
First Line : 99 PASSMORE DR
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-1548
Country : US
Telephone Number : 302-478-9411
Fax Number : 302-479-9883
Provider Business Practice Location Address
First Line : 286 E. MAIN ST
Second Line : ONE
City : NEWARK
State : DE
Zip : 19711-7311
Country : US
Telephone Number : 302-286-1402
Fax Number : 302-286-1403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/21/2022

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