| Wendi Cassand, Lcsw, Cap, Llc | |
|
4821 Ne 5th Ter Suite A Fort Lauderdale FL 33334-2326 | |
| (954) 650-1706 | |
| (954) 267-9567 |
| Full Name | Wendi Cassand, Lcsw, Cap, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4821 Ne 5th Ter, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Wendi Lauren Cassand (PRESIDENT) |
| Authorized Official Contact | 9546501706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendi Cassand, Lcsw, Cap, Llc 4821 Ne 5th Ter Suite A Fort Lauderdale FL 33334-2326 Ph: (954) 650-1706 | Wendi Cassand, Lcsw, Cap, Llc 4821 Ne 5th Ter Suite A Fort Lauderdale FL 33334-2326 Ph: (954) 650-1706 |
| NPI Number | 1770727042 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Medicare PECOS PAC ID | 8426100629 |
|---|---|
| Medicare Enrollment ID | O20090720000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770727042 | NPI | - | NPPES |
| 764958400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2428W (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW6833 (Florida) | Primary |
| Provider Name | Wendi Cassand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245254846 PECOS PAC ID: 6002861432 Enrollment ID: I20050317000844 |
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