Individual provider · Type 1 NPI

Casey Rose Fordham, BA

Clinical Social Worker · Massapequa, NY

NPI number 1649745779 Active

Practice location

75 Grand Ave
Massapequa, NY 11758-4905

Call (516) 799-3203 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X095857 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1649745779

Casey Rose Fordham, BA's National Provider Identifier is 1649745779, issued on Oct 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massapequa, NY. The record was last updated on Aug 18, 2023.