MEDICARE: CASEY FIELDMAN LMSW

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
1	1041C0700X	Clinical Social Worker	116536	NY
2	101YM0800X	Mental Health Counselor	116536	NY

General Provider Information

NPI Number	:	1801526504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY FIELDMAN LMSW

Provider Business Mailing Address
First Line	:	34 LINDEN ST APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-3796
Country	:	US
Telephone Number	:	973-865-4897
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2010
Country	:	US
Telephone Number	:	973-865-4897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	06/29/2026

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Directions to “ CASEY FIELDMAN LMSW” Practice Location

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