Provider Demographics
NPI:1366673931
Name:TALBERT, CASSANDRA VERNETTA (MSW)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:VERNETTA
Last Name:TALBERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 38021
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63138
Mailing Address - Country:US
Mailing Address - Phone:314-867-2836
Mailing Address - Fax:
Practice Address - Street 1:915 N. GRAND.
Practice Address - Street 2:122/JC SOCIAL WORK DEPT. V.A. MEDICAL CENTER
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker