Provider Demographics
NPI:1407408651
Name:CASEY, SARAH M (MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:CASEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CASEY
Other - Last Name:SWANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 GARFIELD ST APT 33
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2273
Mailing Address - Country:US
Mailing Address - Phone:541-690-7188
Mailing Address - Fax:
Practice Address - Street 1:2587 WHITTLE AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-4703
Practice Address - Country:US
Practice Address - Phone:541-890-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health