Miss Cassandra Lynn De Vita, LCSW is a
Social Worker based in Fairfield, California. Miss Cassandra Lynn De Vita is licensed to practice in California (license number LCSW107775) and her current practice location is
275 Beck Ave # Ms 5120, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 784-8065.
NPI number for Miss Cassandra Lynn De Vita is 1417381526 and her current mailing address is 275 Beck Ave # Ms 5120, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417381526.
Healthcare Provider's Profile
| Full Name | Miss Cassandra Lynn De Vita |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 275 Beck Ave # Ms 5120, Fairfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417381526
- Provider Enumeration Date: 08/26/2013
- Last Update Date: 05/26/2023
Medical Identifiers
Medical identifiers for Miss Cassandra Lynn De Vita such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417381526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW64308 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | ACSW97931 (California) | Secondary |
| 104100000X | Social Worker | LCSW107775 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW107775 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Cassandra Lynn De Vita is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Cassandra Lynn De Vita, LCSW
275 Beck Ave # Ms 5120,
Fairfield, CA 94533-6804
Ph: (707) 784-8065 | Miss Cassandra Lynn De Vita, LCSW
275 Beck Ave # Ms 5120,
Fairfield, CA 94533-6804
Ph: (707) 784-8065 |
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