Provider Demographics
NPI:1720507718
Name:GATELY, KASEY ELIZABETH
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:ELIZABETH
Last Name:GATELY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 STEPHENS ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-1051
Mailing Address - Country:US
Mailing Address - Phone:978-818-9246
Mailing Address - Fax:
Practice Address - Street 1:308 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-2411
Practice Address - Country:US
Practice Address - Phone:978-818-9246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical