Provider Demographics
NPI:1538792288
Name:MONROE, CASSANDRA NICOLE (LCSW / LCADC)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:NICOLE
Last Name:MONROE
Suffix:
Gender:F
Credentials:LCSW / LCADC
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:NICOLE
Other - Last Name:MONROE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW / LCADC
Mailing Address - Street 1:537 RALSTON ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4434
Mailing Address - Country:US
Mailing Address - Phone:775-298-6386
Mailing Address - Fax:
Practice Address - Street 1:537 RALSTON ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4434
Practice Address - Country:US
Practice Address - Phone:775-298-6386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2023-11-06
Deactivation Date:2021-07-14
Deactivation Code:
Reactivation Date:2021-08-11
Provider Licenses
StateLicense IDTaxonomies
NV101YA0400X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)