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CASANDRA D PARK ADT
NPI 1356186076
Counselor - Addiction (Substance Use Disorder) in Elkton, MD

Active since June 25, 2024
111 E MAIN ST STE B, ELKTON, MD 21921(443) 406-3234 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casandra D Park Adt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASANDRA D PARK ADT (NPI 1356186076) is an individual addiction (substance use disorder) provider in Elkton, Maryland, licensed in Maryland (ADT3260) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1356186076
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCASANDRA D PARKCredential: ADT
Location Address111 E MAIN ST STE BElkton, MD 21921-5996
Mailing Address136 Cherry Tree LnElkton, MD 21921-5812 · (443) 741-7260
Phone(443) 406-3234
Sole ProprietorYes
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1356186076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · ADT3260
111 E MAIN ST STE B, Elkton, MD 21921
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAISIE MADISON RUSSELL LCSW-C
Social Worker (Clinical)
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (443) 406-3234
NOEL NICOLE LAMMEY ADT
Social Worker
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (443) 406-3234
DORCAS ELAINE BARCLAY SCO699
Counselor (Addiction (Substance Use Disorder))
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (443) 406-3234
PROJECT CHESAPEAKE, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (443) 406-3234
AMY FOX
Counselor (Mental Health)
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (443) 406-3234
HAMIYDA LAYLA MUHAMMAD ADT
Counselor (Addiction (Substance Use Disorder))
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (443) 406-3234
AMY LYNN SHIVES LCSW-C
Social Worker (Clinical)
111 E MAIN ST STE B
ELKTON, MD 21921
Cecil County (434) 406-3234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casandra Park's NPI number?

The NPI number for Casandra Park is 1356186076. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Casandra Park located?

Casandra Park practices at 111 E Main St Ste B, Elkton, MD 21921. The listed phone number is (443) 406-3234.

What is Casandra Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Casandra Park was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.