Individual provider Active NPI

Drejul Cessair Aersolon, ASW

  • Social Worker
  • Woodland, CA
National Provider Identifier
1295499275
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103999 Issued in CA
Practice address
215 W Beamer St
Woodland, CA 95695-2510
Phone
(530) 405-2800
Fax
(530) 204-5255
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103999 CA Primary

Addresses

Primary practice location

215 W Beamer St
Woodland, CA 95695-2510

Mailing address

215 W Beamer St
Woodland, CA 95695-2510
Phone (530) 405-2856

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

LicenseStateTypeSpecialty
103999CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1295499275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BEAMER ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952510",
            "telephone_number": "530-405-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BEAMER ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952510",
            "telephone_number": "530-405-2800",
            "fax_number": "530-204-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AERSOLON",
        "first_name": "DREJUL",
        "middle_name": "CESSAIR",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "103999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.