Individual provider Active NPI

Alyssa Casimiro, LCSW

  • Clinical Social Worker
  • San Ramon, CA
National Provider Identifier
1013797331
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117583 Issued in CA
Practice address
2 Crow Canyon CT Ste 110
San Ramon, CA 94583-1681
Phone
(925) 665-3668
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117583 CA Primary

Addresses

Primary practice location

2 Crow Canyon CT Ste 110
San Ramon, CA 94583-1681

Mailing address

11040 Bollinger Canyon Rd Ste E-439
San Ramon, CA 94582-4969
Phone (925) 665-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117583CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Mango Therapy Group, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Oct 8, 2023 Accepting new patients

Locations

11040 Bollinger Canyon Rd
Ste E439
San Ramon, CA 94582
Phone (925) 665-3668

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1013797331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD STE E-439",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824969",
            "telephone_number": "925-665-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROW CANYON CT STE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831681",
            "telephone_number": "925-665-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIRO",
        "first_name": "ALYSSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.