Provider Demographics
NPI:1780200725
Name:PLOUFFE, CASSIDI-HUNTER (MSW)
Entity Type:Individual
Prefix:MISS
First Name:CASSIDI-HUNTER
Middle Name:
Last Name:PLOUFFE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:CASSIDI
Other - Middle Name:
Other - Last Name:PLOUFFE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:420 FRUIT HILL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-2647
Mailing Address - Country:US
Mailing Address - Phone:401-353-3900
Mailing Address - Fax:
Practice Address - Street 1:420 FRUIT HILL AVE
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-2647
Practice Address - Country:US
Practice Address - Phone:401-353-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker