MEDICARE: CASEY NICOLE O'BRIEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	ISW14944	FL
2	1041C0700X	Clinical Social Worker	ISW14944	FL

General Provider Information

NPI Number	:	1740869536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY NICOLE O'BRIEN

Provider Business Mailing Address
First Line	:	5150 GARFIELD ST
Second Line	:
City	:	COCOA
State	:	FL
Zip	:	32927-3134
Country	:	US
Telephone Number	:	321-745-7920
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 N COURTENAY PKWY STE L
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4463
Country	:	US
Telephone Number	:	321-978-5122
Fax Number	:	321-978-5127

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	04/07/2021

Similar Medicare Providers

1356277180 — CHRISTINA CRARY
Practice Location Address:

1353 N COURTENAY PKWY STE L
MERRITT ISLAND, FL
32953-4463

Practice Phone: 321-978-5122
Practice Fax:

1730149550 — DR. WILLIAM E SHAW JR. M.D.
Practice Location Address:

1353 N COURTENAY PKWY STE T
MERRITT ISLAND, FL
32953-4463

Practice Phone: 321-449-2966
Practice Fax:

1659752053 — MEGAN WILLIAMS
Practice Location Address:

1353 N COURTENAY PKWY STE L
MERRITT ISLAND, FL
32953-4463

Practice Phone: 321-978-5122
Practice Fax:

1770156184 — MIA LAUREN WILLIAMS MS
Practice Location Address:

1353 N COURTENAY PKWY STE L
MERRITT ISLAND, FL
32953-4463

Practice Phone: 321-978-5122
Practice Fax: 321-978-5127

1669103248 — LAUREN CIMINO RMHCI
Practice Location Address:

1353 N COURTENAY PKWY STE L
MERRITT ISLAND, FL
32953-4463

Practice Phone: 132-197-8512
Practice Fax:

1851282511 — LANDMARK EYE, LLC
Practice Location Address:

1353 N COURTENAY PKWY STE T
MERRITT ISLAND, FL
32953-4463

Practice Phone: 321-449-2966
Practice Fax:

Directions to “ CASEY NICOLE O'BRIEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.