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

Casey Rose Fordham, BA

Individual provider Clinical Social Worker · NPI 1649745779

Casey Rose Fordham, BA is a Clinical Social Worker in Massapequa, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

75 Grand Ave
Massapequa, NY 11758-4905
Phone: (516) 799-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 095857 (NY)

Record details

NPI number1649745779
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address75 Grand Ave, Massapequa, NY 11758-4905

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