Victoria Catherine Fahy-Kassay, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04915300 Issued in NJ

Practice address

11097 Houze Rd Ste 100
Roswell, GA 30076-5668

Phone

(678) 403-0112

NPI assigned

Jan 10, 2007

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1952451338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BIRMINGHAM ROAD",
            "address_2": "SUITE 501 MAILBOX 324",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300041610",
            "telephone_number": "201-444-5255",
            "fax_number": "201-444-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11097 HOUZE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765668",
            "telephone_number": "678-403-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Treyburn Run",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "300043088",
            "country_code": "US",
            "telephone_number": "201-444-5255",
            "fax_number": "201-444-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHY-KASSAY",
        "first_name": "VICTORIA",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04915300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.