Kathryn Casamassimo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012427 Issued in IL

Practice address

2021 Midwest Rd Ste 100C
Oak Brook, IL 60523-1394

Phone

(708) 223-8405

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katy Casamassimo Professional name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guided Discovery Mental Health PLLCGroup PAC ID 2264953900, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guided Discovery Mental Health PLLC

  dba Grace Integrated Elmhurst

  • Adult Mental Health Clinic/Center
  • Elmhurst, IL
  • NPI 1700646486
  Medicare reassignment Care Compare group NPD
• Guided Discovery Mental Health PLLC

  dba Grace Integrated Elmhurst

  • Professional Counselor
  • Elmhurst, IL
  • NPI 1053134940

  Clinical

  NPD
• Diverse Legacy Incorporated

  dba Sanders and Associates

  • Psychologist
  • Naperville, IL
  • NPI 1780987503
  NPD (past)

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1205333531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 BLANCHAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131102",
            "telephone_number": "630-697-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MIDWEST RD STE 100C",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231394",
            "telephone_number": "708-223-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAMASSIMO",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "CASAMASSIMO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ann Carlson, LCSW
• Kathleen Erin Carlson
• Nicole Grace Carlson
• Felicia Leigh Carmel, PSY.D.
• Stacy Marie Carmona
• Michael Castellanos, LPC
• Jennifer K Catalfio, PA-C
• Katherine Caulfield
• Gastone Gugliemo Celesia, M.D.
• Marthe Celis

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.