Provider Demographics
NPI:1346595550
Name:CASSIDY, QUINN KATHLEEN (MSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:KATHLEEN
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NATIONAL INSTITUTES OF HEALTH BLDG 10 CRC RM 2-3581
Mailing Address - Street 2:10 CENTER DR MSC 1160
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1160
Mailing Address - Country:US
Mailing Address - Phone:301-496-6020
Mailing Address - Fax:301-451-8991
Practice Address - Street 1:NATIONAL INSTITUTES OF HEALTH BLDG 10 CRC RM 2-3581
Practice Address - Street 2:10 CENTER DR MSC 1160
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892
Practice Address - Country:US
Practice Address - Phone:301-496-6020
Practice Address - Fax:301-451-8991
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18035104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker