Provider Demographics
NPI:1598447732
Name:ALDERINK, CASSANDRA LYN (LLMSW)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LYN
Last Name:ALDERINK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 VALLEY VISTA DR APT 104
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-7976
Mailing Address - Country:US
Mailing Address - Phone:616-312-6822
Mailing Address - Fax:
Practice Address - Street 1:238 HOOVER BLVD STE 10
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3755
Practice Address - Country:US
Practice Address - Phone:616-591-9000
Practice Address - Fax:616-432-3059
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511171041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical