Provider Demographics
NPI:1437697299
Name:CASSELLA, KIERSTEN ELISE (BSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:KIERSTEN
Middle Name:ELISE
Last Name:CASSELLA
Suffix:
Gender:F
Credentials:BSW, LSW
Other - Prefix:MRS
Other - First Name:KIERSTEN
Other - Middle Name:ELISE
Other - Last Name:SNEATHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW, LSW
Mailing Address - Street 1:141 BRADY CIR W
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1411
Mailing Address - Country:US
Mailing Address - Phone:740-284-1977
Mailing Address - Fax:740-284-1978
Practice Address - Street 1:141 BRADY CIR W
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1411
Practice Address - Country:US
Practice Address - Phone:740-284-1977
Practice Address - Fax:740-284-1978
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS-15002391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical