Provider Demographics
NPI:1487029773
Name:ORR NEVINS, CASSIE L (LMSW, LCSWA)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:L
Last Name:ORR NEVINS
Suffix:
Gender:F
Credentials:LMSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 GUAM CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6209
Mailing Address - Country:US
Mailing Address - Phone:423-319-6631
Mailing Address - Fax:
Practice Address - Street 1:2015 BOUNDARY ST STE 203
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6818
Practice Address - Country:US
Practice Address - Phone:423-319-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP1073321041C0700X, 104100000X
TN10000104100000X
SC16750104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical