Provider Demographics
NPI:1487029773
Name:ORR NEVINS, CASSIE L (LMSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:L
Last Name:ORR NEVINS
Suffix:
Gender:F
Credentials:LMSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 GUAM CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6210
Mailing Address - Country:US
Mailing Address - Phone:423-319-6631
Mailing Address - Fax:
Practice Address - Street 1:1405 S GLENBURNIE RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2603
Practice Address - Country:US
Practice Address - Phone:423-319-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10000104100000X
SC16750104100000X
NCP107332104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker