Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Koeneke, MA, CCC-SLP, TSSLD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699393678

Casey Koeneke, MA, CCC-SLP, TSSLD is a Student in an Organized Health Care Education/Training Program in Belle Harbor, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

11502 Ocean Promenade
Belle Harbor, NY 11694-2412
Phone: (718) 634-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 — (631) 473-4284

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699393678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , TSSLD
Sole proprietorYes
NPI enumeratedJuly 7, 2020
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

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