Provider Demographics
NPI:1811382591
Name:CASEY, ASHLEY HASAN (DPM, MSW)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:HASAN
Last Name:CASEY
Suffix:
Gender:F
Credentials:DPM, MSW
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:ABED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM, MSW
Mailing Address - Street 1:13520 WHITE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-8428
Mailing Address - Country:US
Mailing Address - Phone:810-208-0266
Mailing Address - Fax:810-936-8228
Practice Address - Street 1:13520 WHITE LAKE RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-8428
Practice Address - Country:US
Practice Address - Phone:810-208-0266
Practice Address - Fax:810-936-8228
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511205371041C0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program