Cassandra Scott

Individual provider Active NPI Clinical Social Worker · Pembroke, NC

NPI 1033801709 · NPPES record last updated Sep 27, 2024

Key facts

NPI
1033801709
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P021017 (NC)
Practice address
29 Chapelwood Cir
Pembroke, NC 28372-7715
Phone
(910) 740-0079
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P021017NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X P021017 NC Yes

Addresses

Primary practice location

29 Chapelwood Cir
Pembroke, NC 28372-7715

Mailing address

29 Chapelwood Cir
Pembroke, NC 28372-7715
Phone (910) 740-0079

Other providers in Pembroke, NC

All providers in Pembroke, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.