Provider Demographics
NPI:1194327023
Name:SETTLES, KASSANDRA JAYNE (LSW)
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:JAYNE
Last Name:SETTLES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 ADAMS LN APT 101
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2679
Mailing Address - Country:US
Mailing Address - Phone:740-221-2702
Mailing Address - Fax:
Practice Address - Street 1:1825 ADAMS LN APT 101
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2679
Practice Address - Country:US
Practice Address - Phone:740-221-2702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.20052501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical