| Joanne E. Casserly, Licensed Clinical Social Worker, Inc. | |
|
817 E Rio Grande St Pasadena CA 91104-5044 | |
| (323) 528-9856 | |
| Not Available |
| Full Name | Joanne E. Casserly, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 817 E Rio Grande St, Pasadena, California |
| Authorized Official Name and Position | Joanne Eileen Casserly (PRESIDENT) |
| Authorized Official Contact | 3235289856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne E. Casserly, Licensed Clinical Social Worker, Inc. 817 E Rio Grande St Pasadena CA 91104-5044 Ph: (323) 528-9856 | Joanne E. Casserly, Licensed Clinical Social Worker, Inc. 817 E Rio Grande St Pasadena CA 91104-5044 Ph: (323) 528-9856 |
| NPI Number | 1790664498 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 10/27/2025 |
| Certification Date | 10/27/2025 |
| Medicare PECOS PAC ID | 7113410663 |
|---|---|
| Medicare Enrollment ID | O20251203001250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790664498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Joanne Eileen Casserly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578223848 PECOS PAC ID: 8426440173 Enrollment ID: I20220110001556 |
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