NPI 1831511203 · live from the CMS NPI Registry
Cassandre Ackerman, LCSW
Social Worker, Clinical in Port Orange, FL. National Provider Identifier 1831511203, active.
NPI record
| NPI | 1831511203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | Davita Dialysis, 3997 South Nova Road, Port Orange, FL 32127 |
| Practice phone | 386-761-7961 |
| Mailing address | 3997 S Nova Rd, Port Orange, FL 32127 |
| Enumerated | January 20, 2014 |
| Last updated | May 16, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW 8494 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.