Provider Demographics
NPI:1982755468
Name:CASALE, JOAN A (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:A
Last Name:CASALE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 BRYANT DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3523
Mailing Address - Country:US
Mailing Address - Phone:516-781-1769
Mailing Address - Fax:
Practice Address - Street 1:2677 BRYANT DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-3523
Practice Address - Country:US
Practice Address - Phone:516-781-1769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0528711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY62-53-741OtherUNITED BEHAVIORAL HEALTH
NYP470257OtherOXFORD
NYN6K581Medicare ID - Type UnspecifiedMEDICARE