Casey Hagerstrom, M.S., CF-SLP
Individual provider Active NPI Specialist · Massapequa, NY
NPI 1861385205 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1861385205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 348 N Wisconsin Ave
Massapequa, NY 11758-1747 - Phone
- (516) 492-4562
- NPI assigned
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
348 N Wisconsin Ave
Massapequa, NY 11758-1747
Mailing address
255 Executive Dr Ste Ll105
Plainview, NY 11803-1718
Phone (516) 248-7572
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.