Fickardt, Casey E
Fickardt, Casey E is an individual health care provider with primary practice located at 1090 Shadowbrook Way #9 , Paradise CA 95969. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fickardt, Casey E can be contacted via phone (530) 877-5623.Contact Information
Primary practice address
1090 Shadowbrook Way #9
Paradise CA 95969
Phone: (530) 877-5623
Fax: (530) 895-6549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 20409 | California |
Profile Details
| NPI number | 1275682197 |
|---|---|
| LBN Legal business name | Fickardt, Casey E |
| Credentials | ASW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275682197 | NPPES |
| California | Other | ASW #20409 | BOARD OF BEHAVIORAL SCIEN |
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