Provider Demographics
NPI:1639664907
Name:DALY, CASSIE APRIL (LICSW)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:APRIL
Last Name:DALY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 ELMWOOD AVE UNIT 27041
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-7732
Mailing Address - Country:US
Mailing Address - Phone:724-882-8282
Mailing Address - Fax:
Practice Address - Street 1:820 ELMWOOD AVE UNIT 27041
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-7732
Practice Address - Country:US
Practice Address - Phone:724-882-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW034861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical