CASSANDRA MOON (NPI# 1548787690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548787690 |
| Entity Type | Individual |
| Full Name | CASSANDRA MOON |
| Practice Address |
275 Belmont St Worcester MA 01604 |
| Mailing Address |
275 Belmont St Worcester MA 01604-1675 |
| Practice Telephone | 5087913261 |
| Mailing Telephone | 5087913261 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
275 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730196973 | Michelle L Chunis | Social Worker | 275 Belmont St, Worcester, MA 01604-1675 | 2006-08-01 |
| 1194231779 | Morgana Flaherty | Counselor | 275 Belmont St, Worcester, MA 01604-1675 | 2017-12-19 |
| 1093227605 | Vikki Ludwigson | Community/Behavioral Health | 275 Belmont St, Worcester, MA 01604-1675 | 2017-11-04 |
| 1669923660 | Jamie Mirielle Martin | Student in an Organized Health Care Education/Training Program | 275 Belmont St, Worcester, MA 01604-1675 | 2016-10-14 |
| 1992168009 | Stephanie Manzi | Counselor | 275 Belmont St, Worcester, MA 01604-1675 | 2016-04-05 |
| 1073919163 | Karin E Peterson | Social Worker | 275 Belmont St, Worcester, MA 01604-1675 | 2014-11-17 |
| 1033511282 | Meghan Hahn | Counselor | 275 Belmont St, Worcester, MA 01604-1675 | 2014-09-18 |
| 1528468188 | Susan Myers | Social Worker | 275 Belmont St, Worcester, MA 01604-1675 | 2014-09-01 |
| 1871902775 | Charda Davis | Counselor | 275 Belmont St, Worcester, MA 01604-1675 | 2014-08-05 |
| 1073944062 | Maria S Reardon | Counselor | 275 Belmont St, Worcester, MA 01604-1675 | 2013-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661927 | Ekaterina V Pimental | Student in an Organized Health Care Education/Training Program | 72 Salisbury St Apt 5, Worcester, MA 01609-3134 | 2020-05-19 |
| 1841810900 | Charles Purcell | Student in an Organized Health Care Education/Training Program | 80 Carter Rd, Worcester, MA 01609-1038 | 2020-04-19 |
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1982232336 | Min Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr. Biotech 3, Worcester, MA 01605-4306 | 2020-03-31 |
| 1336777952 | Zhenwei Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 2, Worcester, MA 01605-4306 | 2020-03-30 |
| 1932736634 | Gregory Stephen Kazarian | Student in an Organized Health Care Education/Training Program | 2 Marissa Cir, Worcester, MA 01604-2674 | 2020-03-24 |
| 1376178590 | Seungju Oh | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N # S4-740, Worcester, MA 01655-0002 | 2020-03-09 |
| 1962032946 | Samuel James Casey | Student in an Organized Health Care Education/Training Program | 4 Normal St Apt 2, Worcester, MA 01605-3496 | 2020-01-18 |
| 1265072169 | Klajdi Kosovrasti | Student in an Organized Health Care Education/Training Program | 46 Fox Meadow Dr, Worcester, MA 01602-2242 | 2020-01-09 |
| 1669012449 | Jacob Moninghoff | Student in an Organized Health Care Education/Training Program | 16 Norton St Apt 1, Worcester, MA 01605-3780 | 2020-01-09 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on CASSANDRA MOON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.