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General NPI Number Information
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NPI Number | 1669857066
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Entity Type | Organization
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Legal Business Name | KASEY & ASSOCIATES LLC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4727 VALLEY VIEW BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24012-2000
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Country | US
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Telephone | 540-202-1262
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Fax | 826-926-6985
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Provider Business Mailing Address
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Address Line | PO BOX 1115
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City | VINTON
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State | VA
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Zip | 24179-8115
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Country | US
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Telephone | 540-202-1262
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Fax | 826-926-6985
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Authorized Official
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Title or Position | OWNER/LICENSED CLINICAL SOCIAL WORK
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Name | SHELBY DAWN KASEY
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Credential | LCSW
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Telephone | 540-580-4911
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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 | 0904009079
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License Number State | VA
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