Provider Demographics
NPI:1124774708
Name:CASALE, VINCENZA NICOLE (LMHC)
Entity type:Individual
Prefix:
First Name:VINCENZA
Middle Name:NICOLE
Last Name:CASALE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 FRIAR TUCK WAY
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6165
Mailing Address - Country:US
Mailing Address - Phone:518-238-6028
Mailing Address - Fax:
Practice Address - Street 1:37 FRIAR TUCK WAY
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6165
Practice Address - Country:US
Practice Address - Phone:518-238-6028
Practice Address - Fax:518-348-1279
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health