Provider Demographics
NPI:1972350775
Name:CASEY, EMILY (MSW, LSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CASEY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N CLARENDON AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2121
Mailing Address - Country:US
Mailing Address - Phone:609-287-3752
Mailing Address - Fax:
Practice Address - Street 1:201 S WRANGLEBORO RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9553
Practice Address - Country:US
Practice Address - Phone:609-652-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041S0200X
NJ44SL06880600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool