Provider Demographics
NPI:1508308123
Name:KASEMER, BENJAMIN (LSW)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:KASEMER
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16311 STATE HIGHWAY 86
Mailing Address - Street 2:
Mailing Address - City:SAEGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16433-6137
Mailing Address - Country:US
Mailing Address - Phone:814-720-5621
Mailing Address - Fax:
Practice Address - Street 1:310 CHESTNUT ST STE 337
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3294
Practice Address - Country:US
Practice Address - Phone:814-720-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134008104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker