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

Individual provider Speech-Language Pathologist · NPI 1114488434

Jaclyn Michelle Caserta, SLP is a Qualified Speech Language Pathologist in Kennesaw, Georgia. Qualified in 2018, 8 years ago. Practices with Fox Rehabilitation Ga, LLC, a 107-clinician group. Licensed in Georgia and North Carolina.

Years since qualifying
8
Licensed in
GA, NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

2110 Moon Station Dr NW
Kennesaw, GA 30144-2759
Phone: (627) 770-2267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP010583 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 13415 (NC)

Record details

NPI number1114488434
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fox Rehabilitation Ga, Llc — 107 clinicians
Accepts Medicare assignment Not indicated

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