Provider Demographics
NPI:1841771078
Name:SPIES, CASSANDRA AP (MSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:AP
Last Name:SPIES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-1911
Mailing Address - Country:US
Mailing Address - Phone:781-643-0570
Mailing Address - Fax:
Practice Address - Street 1:26 CHEROKEE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-1911
Practice Address - Country:US
Practice Address - Phone:781-643-0570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1173131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical