Provider Demographics
NPI:1093045502
Name:MCCASLAND, CHRISTINA M (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:MCCASLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 HEATHER GLENN CT
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5615
Mailing Address - Country:US
Mailing Address - Phone:817-528-4803
Mailing Address - Fax:817-912-3378
Practice Address - Street 1:2503 HEATHER GLENN CT
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5615
Practice Address - Country:US
Practice Address - Phone:817-528-4803
Practice Address - Fax:817-912-3378
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX353661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical