# MISS CASSANDRA JO CARMICHAEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083108765
- **Gender:** F
- **Credential:** LMSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SW142103 | PA | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |

## Other

- **Enumeration date:** 06/18/2018
- **Last updated:** 11/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SW142103 | STATE BOARD OF SOCIAL WORKERS, MARRIAGE & FAMILY THERAPISTS AND PROFESSIONAL COU | PA |