Provider Demographics
NPI:1811279664
Name:CASKEY, DENNIS KEVIN (LCSW)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:KEVIN
Last Name:CASKEY
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 1:3108 PONTE MORINO DR STE 130
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8278
Mailing Address - Country:US
Mailing Address - Phone:530-556-2056
Mailing Address - Fax:
Practice Address - Street 1:3104 PONTE MORINO DR STE 100
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8282
Practice Address - Country:US
Practice Address - Phone:305-556-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA948531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical