Provider Demographics
NPI:1376365015
Name:SWENSON, CASSANDRA (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:SWENSON
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22589 COUNTY 18
Mailing Address - Street 2:
Mailing Address - City:NEVIS
Mailing Address - State:MN
Mailing Address - Zip Code:56467-4400
Mailing Address - Country:US
Mailing Address - Phone:218-760-9894
Mailing Address - Fax:
Practice Address - Street 1:22589 COUNTY 18
Practice Address - Street 2:
Practice Address - City:NEVIS
Practice Address - State:MN
Practice Address - Zip Code:56467-4400
Practice Address - Country:US
Practice Address - Phone:218-760-9894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty