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NPI Code Detail

MEDICARE: MS. ALICIA MARIE CASEY LICSW

MEDICARE:  MS. ALICIA MARIE CASEY  LICSW
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1588891964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICIA MARIE CASEY LICSW
Provider Business Mailing Address
First Line : 141 MAPLE ST APT 3
Second Line :
City : DANVERS
State : MA
Zip : 01923-2073
Country : US
Telephone Number : 617-797-7362
Fax Number :
Provider Business Practice Location Address
First Line : 800 CUMMINGS CTR STE 266T
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6172
Country : US
Telephone Number : 978-921-1190
Fax Number : 978-927-3724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2009
Last Update Date : 03/18/2024

Similar Medicare Providers

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Practice Location Address:
800 CUMMINGS CTR STE 266T
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Practice Fax:
1154302586 — NORTHEAST BEHAVIORAL HEALTH CORPORATION
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1285642942 — MS. CHRISTINE R CYR N.P.
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BEVERLY, MA
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1174608103 — MRS. EMILY B COTE LMHC
Practice Location Address:
800 CUMMINGS CTR STE 266T
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01915-6172
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1174765440 — C KAY WALSH MS, ATR
Practice Location Address:
800 CUMMINGS CTR STE 266T
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01915-6172
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Directions to “ MS. ALICIA MARIE CASEY LICSW” Practice Location

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