Provider Demographics
NPI:1306522032
Name:RODGERS, CASSIDY PINYAN (MSW, LCSWA, LCAS-A)
Entity type:Individual
Prefix:MRS
First Name:CASSIDY
Middle Name:PINYAN
Last Name:RODGERS
Suffix:
Gender:F
Credentials:MSW, LCSWA, LCAS-A
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:TAYLOR
Other - Last Name:PINYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4896 NEWPORT CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-3303
Mailing Address - Country:US
Mailing Address - Phone:252-822-2384
Mailing Address - Fax:
Practice Address - Street 1:130 IOWA LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4494
Practice Address - Country:US
Practice Address - Phone:919-585-5085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0190221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical