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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CASEY VANESSA SHAW

Active Sole Proprietor

CASEY VANESSA SHAW is a Mental Health Occupational Therapist healthcare provider located in BROOKLYN, New York. NPI 1376126011 is currently active in the NPPES registry. Verify at CMS.

Mental Health Occupational Therapist · BROOKLYN, NY

Registration Details

NPI Number
1376126011
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2021 (5.1075685178041 yrs)
Last Updated
Apr 30, 2021
Sole Proprietor
Yes

Practice Information

Address
178 WALWORTH ST
BROOKLYN, NY, 112053912
Browse NY providers · Browse ZIP 11205
Phone
6319425021
Primary Specialty
Mental Health Occupational Therapist
225XM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.