Mrs. Cassidy N. Evanich LCSW, SAC
Clinical Social Worker in Brookfield, WI(View on Map)
Full Name
Mrs. Cassidy Noelle Evanich LCSW, SAC
NPI Number
1699258111
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/11/2018
Specialties
(Taxonomies)Code
1041C0700X
171M00000X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
License Number
9585-123
Contact
Information
Purpose
Mailing
Location
Address
16535 W BLUEMOUND RD STE 200
16535 W BLUEMOUND RD STE 200
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53005-5906
53005-5906
Country
US
US
Telephone Number
(414) 293-0236
(414) 293-0236
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/12/2023