De Vita, Cassandra Lynn

De Vita, Cassandra Lynn is an sole proprietor health care provider with primary practice located at 275 Beck Ave # Ms 5120 , Fairfield CA 94533-6804. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. De Vita, Cassandra Lynn can be contacted via phone (707) 784-8065.

Contact Information

Primary practice address
275 Beck Ave # Ms 5120 Fairfield CA 94533-6804
Phone: (707) 784-8065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW64308 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ACSW97931 California
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW107775 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW107775 California

Profile Details

NPI number 1417381526
LBN Legal business name De Vita, Cassandra Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2013
Last updated May 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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