Provider Demographics
NPI:1154491835
Name:CASCADDEN, CATHERINE HELEN (LCSW-CA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HELEN
Last Name:CASCADDEN
Suffix:
Gender:F
Credentials:LCSW-CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1151
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA
Mailing Address - State:CA
Mailing Address - Zip Code:93428-1151
Mailing Address - Country:US
Mailing Address - Phone:805-466-3150
Mailing Address - Fax:805-466-3856
Practice Address - Street 1:5955 CAPISTRANO AVE
Practice Address - Street 2:STE G
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-7227
Practice Address - Country:US
Practice Address - Phone:805-466-3150
Practice Address - Fax:805-466-3856
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS782671041C0700X
CALCS18267104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SW18267OtherPROVIDER NUMBER
SW18267Medicare PIN