Provider Demographics
NPI:1922261924
Name:CASALE, ALBERT COSMAS (MSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:COSMAS
Last Name:CASALE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 CHENNAULT BEACH DR
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-4663
Mailing Address - Country:US
Mailing Address - Phone:425-374-3824
Mailing Address - Fax:425-374-3825
Practice Address - Street 1:6107 CHENNAULT BEACH DR
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-4663
Practice Address - Country:US
Practice Address - Phone:425-374-3824
Practice Address - Fax:425-374-3825
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000045031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical