Provider Demographics
NPI:1326024696
Name:CASCIO, MICHAEL JOHN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOHN
Last Name:CASCIO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3493 EVANS ST STE E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4535
Mailing Address - Country:US
Mailing Address - Phone:252-565-8836
Mailing Address - Fax:252-565-8837
Practice Address - Street 1:3493 EVANS ST STE E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4535
Practice Address - Country:US
Practice Address - Phone:252-565-8836
Practice Address - Fax:252-565-8837
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC000595101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2867764Medicare ID - Type UnspecifiedMEDICARE