Provider Demographics
NPI:1598444911
Name:LANDRETH, CASSANDRA BROOKE (LMSW)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:BROOKE
Last Name:LANDRETH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:BROOKE
Other - Last Name:DENZLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8020 PISTACHIO PL
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5929
Mailing Address - Country:US
Mailing Address - Phone:765-524-6141
Mailing Address - Fax:
Practice Address - Street 1:9 E LOOCKERMAN ST STE 306
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-8305
Practice Address - Country:US
Practice Address - Phone:302-734-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0011257104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker