Provider Demographics
NPI:1174996110
Name:CASANOVA, ALAYNA (LCSW-C)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:
Last Name:CASANOVA
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 E 25TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5281
Mailing Address - Country:US
Mailing Address - Phone:410-800-2545
Mailing Address - Fax:
Practice Address - Street 1:118 E 25TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5281
Practice Address - Country:US
Practice Address - Phone:410-800-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD187901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical