Provider Demographics
NPI:1346633302
Name:BESS, CASSAUNDRA (LCSW)
Entity Type:Individual
Prefix:
First Name:CASSAUNDRA
Middle Name:
Last Name:BESS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CASSAUNDRA
Other - Middle Name:
Other - Last Name:BURGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:500 UPLAND DR # B
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-2447
Mailing Address - Country:US
Mailing Address - Phone:801-921-0849
Mailing Address - Fax:
Practice Address - Street 1:789 BAMBERGER DR
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2181
Practice Address - Country:US
Practice Address - Phone:801-921-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7113012-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical