Provider Demographics
NPI:1548509755
Name:CASON, CLAUDIA S (CACII)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:S
Last Name:CASON
Suffix:
Gender:F
Credentials:CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 RIVERS ST
Mailing Address - Street 2:PO BOX 50209
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-8513
Mailing Address - Country:US
Mailing Address - Phone:864-227-1001
Mailing Address - Fax:864-227-3619
Practice Address - Street 1:1612 RIVERS ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-8513
Practice Address - Country:US
Practice Address - Phone:864-227-1001
Practice Address - Fax:864-227-3619
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1106285OtherCACII