Individual
CASSANDRA MODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
205 N MICHIGAN AVE STE 810, CHICAGO, IL 60601-5902
(215) 280-5589
Mailing address
3750 CLARENDON AVE APT 42, PHILADELPHIA, PA 19114-1938
(215) 280-5589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
150114317
IL
104100000X
Social Worker
Primary
105114317
IL
104100000X
Social Worker
Primary
150114317
IL
Other
Enumeration date
09/23/2024
Last updated
04/16/2026
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