Janelle Cassidy, LCSW

Organization Active NPI Clinical Social Worker · El Prado, NM

NPI 1194229484 · NPPES record last updated Mar 21, 2018

Key facts

NPI
1194229484
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
C-10004 (NM)
Legal business name
JANELLE CASSIDY, LCSW
Practice address
310 B Rio Lucero Rd
El Prado, NM 87529
Phone
(575) 779-2031
NPI assigned
Mar 21, 2018
Organization subpart
No

Authorized official

Name
Janelle M. Cassidy, LCSW
Title
LCSW
Phone
(575) 779-2031

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1041C0700X C-10004 NM Yes

Addresses

Primary practice location

310 B Rio Lucero Rd
El Prado, NM 87529

Mailing address

66 Maestas Rd
Ranchos de Taos, NM 87557-9780
Phone (575) 779-2031

Other providers in El Prado, NM

All providers in El Prado, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.