Provider Demographics
NPI:1770852139
Name:CASILLO, ASHLEY KAY (LCSW, MA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KAY
Last Name:CASILLO
Suffix:
Gender:F
Credentials:LCSW, MA
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:KAY
Other - Last Name:ADAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 KATRINA CIR
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-3310
Mailing Address - Country:US
Mailing Address - Phone:781-733-5530
Mailing Address - Fax:
Practice Address - Street 1:7 DANBURY RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4320
Practice Address - Country:US
Practice Address - Phone:781-733-5530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0090811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical