Provider Demographics
NPI:1144838202
Name:FIGUEREDO, CASSIDY (LICSW, MPH)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:FIGUEREDO
Suffix:
Gender:F
Credentials:LICSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 FOUNTAIN ST APT 616
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6987
Mailing Address - Country:US
Mailing Address - Phone:239-777-5583
Mailing Address - Fax:
Practice Address - Street 1:61 FOUNTAIN ST APT 616
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6987
Practice Address - Country:US
Practice Address - Phone:239-777-5583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MA0002230531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker