Provider Demographics
NPI:1285837294
Name:HOSKINS, CASSANDRA PATTERSON (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:PATTERSON
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:PATTERSON
Other - Last Name:HOSKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1702 S SIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-3119
Mailing Address - Country:US
Mailing Address - Phone:336-339-3824
Mailing Address - Fax:
Practice Address - Street 1:2301 W MEADOWVIEW RD
Practice Address - Street 2:SUITE203
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3723
Practice Address - Country:US
Practice Address - Phone:336-339-3824
Practice Address - Fax:888-502-5943
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6586101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC14571OtherBLUECROSS BLUESHIELD OF NORTH CAROLINA
NC6103614Medicaid