Active NPI
Dennis P. Cassan, LCSW
- Clinical Social Worker
- Laguna Niguel, CA
National Provider Identifier
1154425270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16049
- Practice address
- 30011 Ivy Glenn Dr 206
Laguna Niguel, CA 92677-5017 - Phone
- (310) 968-0245
- Fax
- (949) 425-0202
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 16049 | CA | Primary |
Addresses
Primary practice location
30011 Ivy Glenn Dr 206
Laguna Niguel, CA 92677-5017
Mailing address
28271 Rancho de Linda
Laguna Niguel, CA 92677
Phone (949) 425-1040
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16049 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1154425270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28271 RANCHO DE LINDA",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "92677",
"telephone_number": "949-425-1040",
"fax_number": "949-425-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30011 IVY GLENN DR 206",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926775017",
"telephone_number": "310-968-0245",
"fax_number": "949-425-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSAN",
"first_name": "DENNIS",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "16049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.