JACLYN MICHELLE CASERTA SLP - NPI 1114488434 - Speech-Language Pathologist in Kennesaw, GA

Q: What is Jaclyn Caserta's NPI number?

The NPI number for Jaclyn Caserta is 1114488434. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Jaclyn Caserta's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Caserta was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jaclyn Michelle Caserta Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN MICHELLE CASERTA SLP (NPI 1114488434) is an individual speech-language pathologist provider in Kennesaw, Georgia, licensed in Georgia (SLP010583) and active in the NPI registry since March 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1114488434

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJACLYN MICHELLE CASERTACredential: SLP

Location Address2110 MOON STATION DR NWKennesaw, GA 30144-2759

Mailing Address2110 Moon Station Dr NwKennesaw, GA 30144-2759 · (627) 770-2267

Phone(627) 770-2267

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 28, 2019

Last NPPES UpdateAugust 4, 2022

NPPES CertifiedAugust 4, 2022

✔ NPI 1114488434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in GA · SLP010583✔ Licensed in NC · 13415

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2110 MOON STATION DR NW, Kennesaw, GA 30144

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Michelle Caserta Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658852629

PECOS Enrollment IDI20260226004398

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN BOEHN M.ED. CCC-SLP

Speech-Language Pathologist