Healthcare Provider Details

I. General information

NPI: 1578913141
Provider Name (Legal Business Name): AMY R CASLINE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 BELDEN VILLAGE ST NW STE 101
CANTON OH
44718-2509
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9056
US

V. Phone/Fax

Practice location:
  • Phone: 330-305-1668
  • Fax: 330-305-1696
Mailing address:
  • Phone: 419-685-8010
  • Fax: 419-932-6232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS0800450
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: