Active NPI
Cassandra Scott
- Clinical Social Worker
- Agoura Hills, CA
National Provider Identifier
1114781887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 126702
- Practice address
- 5923 Kanan Rd
Agoura Hills, CA 91301-1688 - Phone
- (310) 866-2606
- Fax
- (310) 455-1416
- NPI assigned
- Feb 12, 2024
- Last updated
- May 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 126702 | CA | Primary |
Addresses
Primary practice location
5923 Kanan Rd
Agoura Hills, CA 91301-1688
Mailing address
3857 Birch St # 3223
Newport Beach, CA 92660-2616
Phone (949) 274-9812
Other practice location 1
330 Moss St
Chula Vista, CA 91911-2005
Phone (619) 585-4221
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad Horizons Marriage and Family Counseling, Prof. Corp. | Clinical | Current | Accepting new patients |
Locations
5923 Kanan Rd
Agoura Hills, CA 91301
Phone (310) 382-7556
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Broad Horizons Counseling Collective
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Agoura Hills, CA
- NPI 1144461690
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1114781887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 BIRCH ST # 3223",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602616",
"telephone_number": "949-274-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5923 KANAN RD",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011688",
"telephone_number": "310-866-2606",
"fax_number": "310-455-1416"
}
],
"practiceLocations": [
{
"address_1": "330 Moss St",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919112005",
"country_code": "US",
"telephone_number": "619-585-4221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2025-05-09",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "126702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.