Jealena C Casperson
Individual provider Active NPI Clinical Social Worker · Lakeport, CA
NPI 1154930865 · NPPES record last updated Aug 21, 2026
Key facts
- NPI
- 1154930865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 137230 (CA)
- Practice address
- 925 Bevins CT
Lakeport, CA 95453-9754 - Phone
- (707) 263-8382
- Fax
- (707) 263-5019
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261QM0801X | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 137230 | CA | Yes |
Addresses
Primary practice location
925 Bevins CT
Lakeport, CA 95453-9754
Mailing address
PO Box 1950
Lakeport, CA 95453-1950
Phone (707) 263-8382
Other providers in Lakeport, CA
- Liliana Caicedo
- California Pacific Pathology Medical Group
- Lawerence G Cannon
- Donna Carr
- Jovany Carrillo
- Yolanda Sorto Castanon
- Shantaylah Castner
- Michelle Jean Champion
- Patricia Chandler
- Thonyoon Chao
All providers in Lakeport, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.