Active NPI
David Richard Cassell, LCSW
- Clinical Social Worker
- San Rafael, CA
National Provider Identifier
1154481422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 11527
- Practice address
- 10 N San Pedro Rd
San Rafael, CA 94903 - Phone
- (415) 515-0847
- NPI assigned
- Dec 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11527 | CA | |
| Clinical Social Worker | 1041C0700X | LCS 11527 | CA | Primary |
Addresses
Primary practice location
10 N San Pedro Rd
San Rafael, CA 94903
Mailing address
PO Box 475604
San Francisco, CA 94147-5604
Phone (415) 515-0847
Other practice location 1
1340 Arnold Dr
Ste 200
Martinez, CA 94553-4189
Phone (925) 957-5131
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11527 | CA | MD | Clinical Social Worker |
| LCS 11527 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1154481422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 475604",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941475604",
"telephone_number": "415-515-0847",
"fax_number": "415-440-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N SAN PEDRO RD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94903",
"telephone_number": "415-515-0847"
}
],
"practiceLocations": [
{
"address_1": "1340 Arnold Dr",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "CA",
"postal_code": "945534189",
"country_code": "US",
"telephone_number": "925-957-5131",
"fax_number": "925-957-5156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSELL",
"first_name": "DAVID",
"middle_name": "RICHARD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "11527",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 11527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.