Provider Demographics
NPI:1942463435
Name:NASON, SASHA R (CADC)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:R
Last Name:NASON
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MASONIC RD
Mailing Address - Street 2:
Mailing Address - City:DIXMONT
Mailing Address - State:ME
Mailing Address - Zip Code:04932-3543
Mailing Address - Country:US
Mailing Address - Phone:207-416-5112
Mailing Address - Fax:
Practice Address - Street 1:3333 S CONGRESS AVE STE 402
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-7346
Practice Address - Country:US
Practice Address - Phone:844-309-9543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC8006101YA0400X
MELSX11054104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker