Provider Demographics
NPI:1679853956
Name:PLEASANT, CASANDRA LYNN (BSW)
Entity Type:Individual
Prefix:MRS
First Name:CASANDRA
Middle Name:LYNN
Last Name:PLEASANT
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 N GREENWOOD AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-1409
Mailing Address - Country:US
Mailing Address - Phone:918-599-7277
Mailing Address - Fax:918-599-7716
Practice Address - Street 1:130 N GREENWOOD AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-1409
Practice Address - Country:US
Practice Address - Phone:918-599-7277
Practice Address - Fax:918-599-7716
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner