Individual provider · NPI-1
Natasha Lynn Cassulis, LCSW
Social Worker, Clinical · Paragould, AR
NPI number1295966364
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1295966364
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Natasha Lynn Cassulis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2009
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2670-C | AR | Yes |
Practice location
1908 Mockingbird Ln Ste CParagould, AR 72450-6227
Phone 870-450-9856 · Fax 870-634-2112
Mailing address
1908 Mockingbird Ln Ste CParagould, AR 72450-6227
Phone 870-450-9856 · Fax 870-634-2112
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