Provider Demographics
NPI:1508675240
Name:LAWRENCE, CASSANDRA ASHLEY (LSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ASHLEY
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GENSLER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-1013
Mailing Address - Country:US
Mailing Address - Phone:412-417-4489
Mailing Address - Fax:
Practice Address - Street 1:6425 LIVING PL STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-5122
Practice Address - Country:US
Practice Address - Phone:412-417-4489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW135881104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker