Individual provider Active NPI

Zsuzsa Kasselmann, ASW

  • Clinical Social Worker
  • Carlsbad, CA
National Provider Identifier
1083065239
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW100242 Issued in CA
Practice address
300 Carlsbad Village Dr Ste 216
Carlsbad, CA 92008-2991
Phone
(760) 224-7735
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
Clinical Social Worker 1041C0700X 77415 CA
Clinical Social Worker 1041C0700X LCSW100242 CA Primary

Addresses

Primary practice location

300 Carlsbad Village Dr Ste 216
Carlsbad, CA 92008-2991

Mailing address

300 Carlsbad Village Dr
Ste 216
Carlsbad, CA 92008-2991
Phone (760) 224-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217000658 CA Practitioner - Clinical Social Worker 7416354840 Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Carlsbad Village Dr
Suite 216
Carlsbad, CA 92008-2991
Phone (760) 224-7735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100242CAMDMarriage & Family Therapist
77415CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1083065239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR",
            "address_2": "STE 216",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082991",
            "telephone_number": "760-224-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR STE 216",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082991",
            "telephone_number": "760-224-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSELMANN",
        "first_name": "ZSUZSA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77415",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.