Provider Demographics
NPI:1154629962
Name:HOWELL, CASSANDRA MICHELLE (LCSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MICHELLE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:MICHELLE
Other - Last Name:MCMILLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:14316 S JACKSON FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-2804
Mailing Address - Country:US
Mailing Address - Phone:208-761-6918
Mailing Address - Fax:
Practice Address - Street 1:14316 S JACKSON FIELD WAY
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-2804
Practice Address - Country:US
Practice Address - Phone:208-761-6918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
UT8458006-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator