Provider Demographics
NPI:1245802487
Name:LEONE, CASSANDRA ANN (LMHC, CASAC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANN
Last Name:LEONE
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALVIN ST
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1890
Mailing Address - Country:US
Mailing Address - Phone:516-840-2430
Mailing Address - Fax:516-945-9745
Practice Address - Street 1:5 ALVIN ST
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1890
Practice Address - Country:US
Practice Address - Phone:516-840-2430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014300-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health