Provider Demographics
NPI:1821662875
Name:CASSARA, CHELSEA KEY FOX (LCSW, LSW-C)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KEY FOX
Last Name:CASSARA
Suffix:
Gender:F
Credentials:LCSW, LSW-C
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:KEY
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5500 HARFORD RD STE 203A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2290
Mailing Address - Country:US
Mailing Address - Phone:850-339-9103
Mailing Address - Fax:
Practice Address - Street 1:5500 HARFORD RD STE 203A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2290
Practice Address - Country:US
Practice Address - Phone:850-339-9103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD302541041C0700X
FLSW212201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical