Provider Demographics
NPI:1518303940
Name:PLUMMER COLLIER, CASSANDRA LANELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:LANELLE
Last Name:PLUMMER COLLIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CASSANDRA
Other - Middle Name:LANELLE
Other - Last Name:PLUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12001 TANGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-0351
Mailing Address - Country:US
Mailing Address - Phone:254-855-3297
Mailing Address - Fax:
Practice Address - Street 1:12001 TANGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-0351
Practice Address - Country:US
Practice Address - Phone:254-855-3297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX410781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical