Cassidy Brooking-lang, LCSW is a
Social Worker - Clinical based in Phoenix, Arizona. Cassidy Brooking-lang is licensed to practice in Arizona (license number 19443) and her current practice location is
9201 N 5th St, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 882-4545.
NPI number for Cassidy Brooking-lang is 1033512249 and her current mailing address is 1310 N 2nd St Apt 2220, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033512249.
Healthcare Provider's Profile
| Full Name | Cassidy Brooking-lang |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 9201 N 5th St, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033512249
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 10/14/2021
Medical Identifiers
Medical identifiers for Cassidy Brooking-lang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033512249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 75939 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 75939 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW75939 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 19443 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cassidy Brooking-lang is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cassidy Brooking-lang, LCSW
1310 N 2nd St Apt 2220,
Phoenix, AZ 85004-1776
Ph: (925) 360-7670 | Cassidy Brooking-lang, LCSW
9201 N 5th St,
Phoenix, AZ 85020-2532
Ph: (480) 882-4545 |
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