Provider Demographics
NPI:1740528439
Name:CABALLERO, PASCALE MARIE (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:PASCALE
Middle Name:MARIE
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MISS
Other - First Name:PASCALE
Other - Middle Name:MARIE
Other - Last Name:CASSAGNOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10410 KENSINGTON PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2938
Mailing Address - Country:US
Mailing Address - Phone:301-691-4674
Mailing Address - Fax:301-290-6492
Practice Address - Street 1:10410 KENSINGTON PKWY STE 302
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2938
Practice Address - Country:US
Practice Address - Phone:301-691-4674
Practice Address - Fax:301-290-6492
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777611041C0700X
MD121131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical