Provider Demographics
NPI:1700435815
Name:WINNIE, CASSANDRA ELISE
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ELISE
Last Name:WINNIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 LESWING AVE
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5203
Mailing Address - Country:US
Mailing Address - Phone:201-937-8597
Mailing Address - Fax:
Practice Address - Street 1:48 LESWING AVE
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5203
Practice Address - Country:US
Practice Address - Phone:201-937-8597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker