Healthcare Provider Details

I. General information

NPI: 1699493288
Provider Name (Legal Business Name): CASEY LEOPOLD FELDMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 SOUNDVIEW AVE
WHITE PLAINS NY
10606-3419
US

IV. Provider business mailing address

71 SOUNDVIEW AVE
WHITE PLAINS NY
10606-3419
US

V. Phone/Fax

Practice location:
  • Phone: 561-310-0462
  • Fax:
Mailing address:
  • Phone: 561-310-0462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101673
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: