Provider Demographics
NPI:1750540290
Name:YEAGER, CASSIDY (BSW)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:YEAGER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 RT 826 HWY E
Mailing Address - Street 2:524
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701
Mailing Address - Country:US
Mailing Address - Phone:724-465-0369
Mailing Address - Fax:724-465-1081
Practice Address - Street 1:1380 RT 286 HWY E
Practice Address - Street 2:524
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-465-0369
Practice Address - Fax:724-465-1081
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical