Provider Demographics
NPI:1366509424
Name:CASEY, JOHN FRANCIS (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANCIS
Last Name:CASEY
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14737 BEECH AVE
Mailing Address - Street 2:2A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1264
Mailing Address - Country:US
Mailing Address - Phone:917-279-0965
Mailing Address - Fax:
Practice Address - Street 1:1814 COLLEGE POINT BLVD
Practice Address - Street 2:2ND FLR
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-2241
Practice Address - Country:US
Practice Address - Phone:347-583-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR301480-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY461628OtherVALUE OPTIONS PROVIDER ID
NYN3066OtherEMPIRE ID NUMBER
NYR031480-1OtherSTATE LICENSE, LCSW-R
NY277488OtherMHN PROVIDER ID
NY7660208OtherAETNA PROVIDER ID NUMBER
NYP2572139OtherOXFORD PROVIDER ID NUMBER
NY7660208OtherAETNA PROVIDER ID NUMBER