Individual ProviderNina D CassadaCounselorBehavioral Health & Social Service ProvidersPractice Address150 Linden Ave, Lynchburg, VA 24503-2010(434) 384-3131(434) 509-3446PECOS EnrollmentThis provider is enrolled in PECOS as NINA DILLON.Based on the most recent information from CMS, provider Nina D Cassada is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1841301512Provider TypeIndividualFull NameCassada, Nina DTitleMs.CredentialL.P.C.GenderFemaleSole ProprietorYesEnumeration Date8/31/2006Last Updated6/17/2025Contact InformationPractice LocationPractice Address150 Linden Ave, Lynchburg, VA 24503-2010Phone(434) 384-3131FaxUnlisted FaxMailing LocationMailing Address4421 Gorman Dr, Lynchburg, VA 24503-1905Phone(434) 509-3446FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701003397VirginiaProvider IdentifiersIDDescriptionIssuerID010243823DescriptionMedicaidIssuerUnlistedVirginiaID171785DescriptionOtherIssuerANTHEMVirginiaIDO80139DescriptionOtherIssuerOPTIMAVirginia