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NPI Code Detail

MEDICARE: BRIAN CASEY

MEDICARE: BRIAN CASEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.026740IL

General Provider Information

NPI Number : 1316315138
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CASEY
Provider Business Mailing Address
First Line : PO BOX 1593
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90213-1593
Country : US
Telephone Number : 617-388-2488
Fax Number :
Provider Business Practice Location Address
First Line : 1438 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2150
Country : US
Telephone Number : 312-508-3645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 04/08/2025

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Directions to “ BRIAN CASEY ” Practice Location

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