Jewell, Cassidy Lynn

Jewell, Cassidy Lynn is an individual health care provider with primary practice located at 890 N 10Th St Ste 110 , Kalamazoo MI 49009-6192. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jewell, Cassidy Lynn can be contacted via phone (888) 527-0012.

Contact Information

Primary practice address
890 N 10Th St Ste 110 Kalamazoo MI 49009-6192
Phone: (888) 527-0012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6851115878 Michigan
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 6851115878 Michigan

Profile Details

NPI number 1417435660
LBN Legal business name Jewell, Cassidy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Nov 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417435660 NPPES
Kentucky MEDICAID 1790731081

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