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CASEY ROSE FORDHAM BA
NPI 1649745779
Social Worker - Clinical in Massapequa, NY

Active since October 04, 2018
75 GRAND AVE, MASSAPEQUA, NY 11758(516) 799-3203 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Oct 4, 2018 (2 updates tracked since 2018).

About Casey Rose Fordham Ba NPPES

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

CASEY ROSE FORDHAM BA (NPI 1649745779) is an individual clinical provider in Massapequa, New York, licensed in New York (095857) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1649745779
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCASEY ROSE FORDHAMCredential: BA
Location Address75 GRAND AVEMassapequa, NY 11758-4905
Mailing Address75 Grand AveMassapequa, NY 11758-4905 · (516) 765-6388
Phone(516) 799-3203
Sole ProprietorNo
Enumeration DateOctober 4, 2018
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1649745779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 095857
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
75 GRAND AVE, Massapequa, NY 11758
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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.

MS. KELLY KOWALEK LMSW
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MRS. ANGELA PICCININNI LCSW R
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (519) 799-3203
MS. MEGAN CATHERINE MCCORMACK LMSW
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
ALYSSA FOUAD
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (515) 719-0313
ASHLYN MARIE RUSSO
Marriage & Family Therapist
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MICHELLE HARCLERODE
Counselor
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
DANIELLE ISABELLA SIMONE LMSW
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MRS. CORINNE AGNES ALBA LMHC, CASAC
Counselor (Mental Health)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 885-1818

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 Casey Fordham's NPI number?

The NPI number for Casey Fordham is 1649745779. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Casey Fordham located?

Casey Fordham practices at 75 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 799-3203.

What is Casey Fordham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Casey Fordham was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.