Individual
PHILIP CASADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-10747
NM
1041C0700X
Clinical Social Worker
Primary
M-10680
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850231566
—
NM
Enumeration date
01/11/2019
Last updated
09/13/2019
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