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Provider Information for 1609008366


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Ms. CASSANDRA JEAN ALLEN LCSW


Sex: Female

NPI: 1609008366
Last Updated: 2023-08-24
Certification Date: 2023-08-24

Details

NameValue
NPI1609008366
Enumeration Date2009-08-13
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 18 OAK BRANCH DR
GREENSBORO, NC 27407-2443
United States

Phone: 336-579-2312 | Fax:
 
Primary Practice Address 18 OAK BRANCH DR
GREENSBORO, NC 27407-2443
United States

Phone: 336-579-2312 | Fax:
 
Secondary Practice Address(es)

6329 UNITY ST
THOMASVILLE, NC 27360-7185
United States

Phone: 336-793-2518 | Fax:
 

2009 S ELM EUGENE ST
GREENSBORO, NC 27406-2824
United States

Phone: 336-333-5366 | Fax:336-333-5046
 

913 N CAROLINA AVE
STATESVILLE, NC 28677-3414
United States

Phone: 704-871-0934 | Fax:704-402-1065
 

414 W LEBANON ST
MOUNT AIRY, NC 27030-2954
United States

Phone: 336-789-9587 | Fax:
 

766 HARTNESS RD
STATESVILLE, NC 28677-3479
United States

Phone: 704-380-3620 | Fax:
 

18 OAK BRANCH DR
GREENSBORO, NC 27407-2443
United States

Phone: 336-579-2312 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC1609008366
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthNCP005276
Yes 1041C0700X - Social Worker - ClinicalNCP012267