Provider Demographics
NPI:1962778803
Name:GADDIS, CASSANDRA J (LSCSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:J
Last Name:GADDIS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 NE 35TH ST TOPEKA, KS
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66617
Mailing Address - Country:US
Mailing Address - Phone:785-249-1782
Mailing Address - Fax:
Practice Address - Street 1:4101 SW MARTIN DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66609-1217
Practice Address - Country:US
Practice Address - Phone:785-670-6178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No172V00000XOther Service ProvidersCommunity Health Worker