Provider Demographics
NPI:1275552069
Name:AU, KASEY CHIAOLING (LCSW)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:CHIAOLING
Last Name:AU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64434
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94088-4434
Mailing Address - Country:US
Mailing Address - Phone:650-814-5862
Mailing Address - Fax:408-737-3992
Practice Address - Street 1:721 S MARY AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1603
Practice Address - Country:US
Practice Address - Phone:650-814-5862
Practice Address - Fax:408-737-3992
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220631041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical