Provider Demographics
NPI:1639608342
Name:RASMUSSEN, CASSANDRA ISABELLE LEA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:ISABELLE LEA
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:ISABELLE LEA
Other - Last Name:SOUTHWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5460 MCGINNIS VILLAGE PL STE 102
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-1744
Mailing Address - Country:US
Mailing Address - Phone:480-253-9416
Mailing Address - Fax:
Practice Address - Street 1:5460 MCGINNIS VILLAGE PL STE 102
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-1744
Practice Address - Country:US
Practice Address - Phone:480-253-9416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker