Provider Demographics
NPI:1225738925
Name:CASSANO, MADELINE (LSW)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:CASSANO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-8103
Mailing Address - Country:US
Mailing Address - Phone:201-390-9757
Mailing Address - Fax:
Practice Address - Street 1:30 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-8103
Practice Address - Country:US
Practice Address - Phone:201-390-9757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06662100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker