Healthcare Provider Details

I. General information

NPI: 1477471514
Provider Name (Legal Business Name): CASEY K FLEISCHMANN MS, LPC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 INTERNATIONAL LN STE 102
MADISON WI
53704-3117
US

IV. Provider business mailing address

2702 INTERNATIONAL LN STE 102
MADISON WI
53704-3117
US

V. Phone/Fax

Practice location:
  • Phone: 608-742-5518
  • Fax: 608-268-9780
Mailing address:
  • Phone: 608-742-5518
  • Fax: 608-268-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9130-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: