Provider Demographics
NPI:1508687393
Name:MCCASKEY, VANESSA VICTORIA (LMFT)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:VICTORIA
Last Name:MCCASKEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10621 GLENAYR DR
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-8926
Mailing Address - Country:US
Mailing Address - Phone:317-515-0205
Mailing Address - Fax:
Practice Address - Street 1:5724 GREEN ST FL 2
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1471
Practice Address - Country:US
Practice Address - Phone:317-515-0205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35002316A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist