Individual
CASSANDRA RANKINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11019 155TH ST, JAMAICA, NY 11433-3617
(917) 669-4297
(866) 617-7394
Mailing address
11019 155TH ST, JAMAICA, NY 11433-3617
(917) 669-4297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03545631
—
NY
01
—
084793
LICENSE
NY
01
—
NBDA71
BLUECROSS BLUESHIELD
NY
Enumeration date
05/18/2012
Last updated
10/18/2022
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