Provider Demographics
NPI:1295439677
Name:KOHLER, CASEY (LCSW)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:KOHLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:KOHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:410 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MO
Mailing Address - Zip Code:63068-1047
Mailing Address - Country:US
Mailing Address - Phone:636-584-4705
Mailing Address - Fax:
Practice Address - Street 1:410 OLIVE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MO
Practice Address - Zip Code:63068-1047
Practice Address - Country:US
Practice Address - Phone:636-584-4705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240385121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical