Provider Demographics
NPI:1871725911
Name:STARINSKY, CASSANDRA MICHEL (MSW, LISW, CSSW)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MICHEL
Last Name:STARINSKY
Suffix:
Gender:F
Credentials:MSW, LISW, CSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 W JOHNSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2732
Mailing Address - Country:US
Mailing Address - Phone:614-506-0402
Mailing Address - Fax:614-626-8805
Practice Address - Street 1:287 W JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2732
Practice Address - Country:US
Practice Address - Phone:614-506-0402
Practice Address - Fax:614-626-8805
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-09002291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH10193Medicaid
OH1376607374OtherORGANIZATION NPI#