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JOSEPHINE MARIE KELLY CASAC
NPI 1619124070
Counselor in Brentwood, NY

Active since August 27, 2008
452 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 436-6065(631) 436-6068 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Josephine Marie Kelly Casac NPPES

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

JOSEPHINE MARIE KELLY CASAC (NPI 1619124070) is an individual counselor in Brentwood, New York, licensed in New York (00004502) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1619124070
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJOSEPHINE MARIE KELLYCredential: CASAC
Location Address452 SUFFOLK AVEBrentwood, NY 11717-4207
Mailing Address452 Suffolk AveBrentwood, NY 11717-4207 · (631) 436-6065 · Fax (631) 436-6068
Phone(631) 436-6065
Fax(631) 436-6068
Sole ProprietorNo
Enumeration DateAugust 27, 2008
✔ NPI 1619124070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NY · 00004502
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
452 SUFFOLK AVE, Brentwood, NY 11717
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Other Providers at the Same Location NPPES 20

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

CARMEN BETANCOURT-NEDWICK LCSW
Counselor
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
TOWN OF ISLIP
Counselor (Addiction (Substance Use Disorder))
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
EMILIA SOUZA
Counselor (Addiction (Substance Use Disorder))
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
MRS. SONDRA RAYNETTE HUGGINS
Student in an Organized Health Care Education/Training Program
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
EMILY FASOLINO CASAC-T
Counselor (Addiction (Substance Use Disorder))
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
JOSEPH MICHAEL MARTINO LMSW, CASAC
Counselor (Addiction (Substance Use Disorder))
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
KENIA E DE LA ROSA LMSW
Counselor (Addiction (Substance Use Disorder))
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065
JOHNNY MORALES LMSW
Social Worker
452 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-6065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josephine Kelly's NPI number?

The NPI number for Josephine Kelly is 1619124070. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Josephine Kelly located?

Josephine Kelly practices at 452 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 436-6065.

What is Josephine Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Josephine Kelly was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.