Provider Demographics
NPI:1922430388
Name:MARSHALL, CASSANDRA KAY (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:KAY
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6340 MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6718
Mailing Address - Country:US
Mailing Address - Phone:301-691-4133
Mailing Address - Fax:
Practice Address - Street 1:164 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6279
Practice Address - Country:US
Practice Address - Phone:301-865-2226
Practice Address - Fax:301-865-6720
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical