Provider Demographics
NPI:1699841502
Name:CASALE, ALFRED P (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:P
Last Name:CASALE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 PELHAM PKWY S
Mailing Address - Street 2:3H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1019
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1130 PELHAM PARKWAY SOUTH
Practice Address - Street 2:3H
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:212-802-9271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0709271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
G246378OtherUNITED BEHAVIORAL HEALTH
P2396371OtherOXFORD
NYN4K452Medicare ID - Type Unspecified