Provider Demographics
NPI:1669035101
Name:DOHSE, CASEY-ANN R (LMFT)
Entity type:Individual
Prefix:
First Name:CASEY-ANN
Middle Name:R
Last Name:DOHSE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CASEY-ANN
Other - Middle Name:R
Other - Last Name:PETTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:583 DONOFRIO DR STE 1012
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-2055
Mailing Address - Country:US
Mailing Address - Phone:608-620-3062
Mailing Address - Fax:
Practice Address - Street 1:583 DONOFRIO DR STE 1012
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2055
Practice Address - Country:US
Practice Address - Phone:608-620-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI502-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist