Provider Demographics
NPI:1194491498
Name:WOODS, CASSIE MARIE (MSW)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:MARIE
Last Name:WOODS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 LUMBEE AVE
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-5084
Mailing Address - Country:US
Mailing Address - Phone:910-258-4353
Mailing Address - Fax:910-816-4858
Practice Address - Street 1:86 THREE HUNTS DR.
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372
Practice Address - Country:US
Practice Address - Phone:910-522-0408
Practice Address - Fax:910-816-4858
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical