Provider Demographics
NPI:1033874342
Name:CASCONE, SANDRA AURELIA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:AURELIA
Last Name:CASCONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-4344
Mailing Address - Country:US
Mailing Address - Phone:860-480-0305
Mailing Address - Fax:
Practice Address - Street 1:82 CHAPIN RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2642
Practice Address - Country:US
Practice Address - Phone:203-512-0467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6015104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker