Provider Demographics
NPI:1770886343
Name:KAMASIA & ASSOCIATES, INC.
Entity type:Organization
Organization Name:KAMASIA & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNISCHA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MSW
Authorized Official - Phone:763-536-9013
Mailing Address - Street 1:4213 VERA CRUZ AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1210
Mailing Address - Country:US
Mailing Address - Phone:763-536-9013
Mailing Address - Fax:763-536-9013
Practice Address - Street 1:4213 VERA CRUZ AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1210
Practice Address - Country:US
Practice Address - Phone:763-536-9013
Practice Address - Fax:763-536-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN090681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty