Provider Demographics
NPI:1194606020
Name:WILLIAMS, KASEY (CASAC-T)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 N MAIN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-3044
Mailing Address - Country:US
Mailing Address - Phone:518-866-6858
Mailing Address - Fax:
Practice Address - Street 1:73 N MAIN ST FL 3
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-3044
Practice Address - Country:US
Practice Address - Phone:518-866-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY41118101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)