Provider Demographics
NPI:1861901175
Name:HOVET, CASSANDRA LYN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LYN
Last Name:HOVET
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 S WASHINGTON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6341
Mailing Address - Country:US
Mailing Address - Phone:701-757-3338
Mailing Address - Fax:701-738-1118
Practice Address - Street 1:2017 S WASHINGTON ST STE 3
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6341
Practice Address - Country:US
Practice Address - Phone:701-757-3338
Practice Address - Fax:701-738-1118
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN276941041C0700X
ND59981041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND321040877Medicaid