Kassondra Soto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C018277 Issued in NC

Practice address

3001 Green Bay Rd
North Chicago, IL 60064-3048

Phone

(224) 610-8642

NPI assigned

Apr 16, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kassondra Mae Grote Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366238388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ARKANSAS AVE",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600884244",
            "telephone_number": "847-212-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "224-610-8642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Birch St",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285472518",
            "country_code": "US",
            "telephone_number": "910-451-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "KASSONDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSONDRA",
            "last_name": "GROTE",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Ashley Smith, LCSW
• Elizabeth Snider
• Oleksiy Solonowicz
• Charles Sommercorn, R.PH.
• Sun Young Song
• Selly Soto, MD
• Joseph William Spellman, MD
• Catherine A. Spillner, MSW
• Ilana Nicole Spitz
• Jennifer Spotts, PHD

• Clinical Social Worker in North Chicago, IL
• Providers in North Chicago, 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 Jul 13, 2026; 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.