Provider Demographics
NPI:1043591209
Name:CASCIO, MICHAEL (LICSW)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CASCIO
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BEACON ST STE 801
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-3702
Mailing Address - Country:US
Mailing Address - Phone:617-227-2622
Mailing Address - Fax:617-227-5447
Practice Address - Street 1:14 BEACON ST STE 801
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-3702
Practice Address - Country:US
Practice Address - Phone:617-227-2622
Practice Address - Fax:617-227-5447
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)