Individual
MRS. CASSIDY NOELLE EVANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(414) 293-0236
(262) 821-6180
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(414) 293-0236
(262) 821-6180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9585-123
WI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/11/2018
Last updated
11/14/2025
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