Provider Demographics
NPI:1982051405
Name:PINDER, CASSANDRA (LCPC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:PINDER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 WORTON RD
Mailing Address - Street 2:
Mailing Address - City:WORTON
Mailing Address - State:MD
Mailing Address - Zip Code:21678-1823
Mailing Address - Country:US
Mailing Address - Phone:410-708-5181
Mailing Address - Fax:
Practice Address - Street 1:400 S CROSS ST
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-4752
Practice Address - Country:US
Practice Address - Phone:443-347-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8521101YP2500X, 101YM0800X
DEPC-0011265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD888535400Medicaid