Provider Demographics
NPI:1992142301
Name:KASMAN, THERESA M (LMHC, CASAC)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:M
Last Name:KASMAN
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34B OSSEO PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-4772
Mailing Address - Country:US
Mailing Address - Phone:845-783-5941
Mailing Address - Fax:
Practice Address - Street 1:34B OSSEO PARK ROAD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4772
Practice Address - Country:US
Practice Address - Phone:845-783-5941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23500101YA0400X
NY005556-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)