Kasey & Associates Llc | |
4212 Cypress Park Dr F Roanoke VA 24018-8417 | |
(540) 400-7841 | |
(540) 400-8177 |
Full Name | Kasey & Associates Llc |
---|---|
Speciality | Social Worker |
Location | 4212 Cypress Park Dr, Roanoke, Virginia |
Authorized Official Name and Position | Shelby Dawn Kasey (OWNER/LICENSED CLINICAL SOCIAL WORK) |
Authorized Official Contact | 5405804911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kasey & Associates Llc 230b Cedar Ave Vinton VA 24179-3310 Ph: (540) 580-4911 | Kasey & Associates Llc 4212 Cypress Park Dr F Roanoke VA 24018-8417 Ph: (540) 400-7841 |
NPI Number | 1669857066 |
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Provider Enumeration Date | 07/27/2015 |
Last Update Date | 07/27/2015 |
Medicare PECOS PAC ID | 2163729757 |
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Medicare Enrollment ID | O20160325000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669857066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009079 (Virginia) | Primary |
Provider Name | Shelby Dawn Kasey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457736159 PECOS PAC ID: 3072810662 Enrollment ID: I20160325000505 |
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