National Provider Identifier
Cassandra Johnson, LCSW
Cassandra Johnson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Shortsville, NY and a listed phone number of (315) 521-1334.
Profile Overview
- NPI
- 1417634577
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 30, 2023
- Last Updated
- June 30, 2023
Practice Location
- 1877 State Route 21
- Shortsville, NY 14548-9213
Phone: (315) 521-1334
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1417634577
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Cassandra
- Credential
- LCSW
- Mailing Street Address
- 1877 State Route 21
- Mailing City
- Shortsville
- Mailing State
- NY
- Mailing ZIP Code
- 14548-9213
- Mailing Country
- US
- Mailing Phone
- (315) 521-1334
- Practice Street Address
- 1877 State Route 21
- Practice City
- Shortsville
- Practice State
- NY
- Practice ZIP Code
- 14548-9213
- Practice Country
- US
- Practice Phone
- (315) 521-1334
- Enumeration Date
- June 30, 2023
- Last Updated
- June 30, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)