Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 0857​39 | NY |
NPI | 1003168113 |
---|---|
Provider Name | Cassandra Chaney |
First Address | Nottingham, MD 21236-4325 |
Second Address | Baltimore, MD 21206-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2012 |
Last Update Date | 14/04/2020 |