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General NPI Number Information
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NPI Number | 1245063296
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Entity Type | Individual
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Provider Name | CASEY LEIGH WHEELER LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/24/2024
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 81 LAKE AVE
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City | ROCHESTER
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State | NY
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Zip | 14608-1410
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Country | US
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Telephone | 585-368-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 81 VANDERLIN PARK
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City | ROCHESTER
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State | NY
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Zip | 14622-1549
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Country | US
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Telephone | 585-748-3466
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 095188-01
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License Number State | NY
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