Provider Demographics
NPI:1598902025
Name:CASKEY, MARTHA LOTT (LCSW)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:LOTT
Last Name:CASKEY
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 1:1254 E CHURCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-9138
Mailing Address - Country:US
Mailing Address - Phone:662-494-0330
Mailing Address - Fax:
Practice Address - Street 1:1254 E CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-9138
Practice Address - Country:US
Practice Address - Phone:662-494-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC23131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical