Provider Demographics
NPI:1942988209
Name:BERDING, CASONDRA RAE (APSW)
Entity type:Individual
Prefix:
First Name:CASONDRA
Middle Name:RAE
Last Name:BERDING
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:CASONDRA
Other - Middle Name:RAE
Other - Last Name:SCHANCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:SIREN
Mailing Address - State:WI
Mailing Address - Zip Code:54872-0309
Mailing Address - Country:US
Mailing Address - Phone:715-349-7069
Mailing Address - Fax:888-625-8634
Practice Address - Street 1:1119 W KENNEDY AVE
Practice Address - Street 2:STE A
Practice Address - City:KIMBERLY
Practice Address - State:WI
Practice Address - Zip Code:54136-2213
Practice Address - Country:US
Practice Address - Phone:920-336-8960
Practice Address - Fax:888-625-8634
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI134204104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker