Provider Demographics
NPI:1043718430
Name:HARPER, KASANDRA ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KASANDRA
Middle Name:ANN
Last Name:HARPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 EASTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3902
Mailing Address - Country:US
Mailing Address - Phone:978-490-6500
Mailing Address - Fax:
Practice Address - Street 1:55 LAKE ST STE 180
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3876
Practice Address - Country:US
Practice Address - Phone:774-293-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor