Provider Demographics
NPI:1295502714
Name:CAMERON, CASSIDY ROSE (LCSW)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:ROSE
Last Name:CAMERON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 GREAT PINES DR
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3410
Mailing Address - Country:US
Mailing Address - Phone:508-274-5563
Mailing Address - Fax:
Practice Address - Street 1:259A NORTH ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3823
Practice Address - Country:US
Practice Address - Phone:774-363-6382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical