Individual provider Active NPI

Cassandra Rhea Rondel Asencio, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1407092554
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013878 Issued in NC
Practice address
7810 Ballantyne Commons Pkwy Ste 222
Charlotte, NC 28277-3416
Phone
(704) 672-0578
Fax
(704) 672-0726
NPI assigned
Dec 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C013878 NC Primary

Addresses

Primary practice location

7810 Ballantyne Commons Pkwy Ste 222
Charlotte, NC 28277-3416

Mailing address

318 Hillandale Dr
Charlotte, NC 28270-0994
Phone (734) 972-8970

Other practice location 1

1300 Camino Sierra Vis # 125
Santa Fe, NM 87505-1007
Phone (505) 467-2504

Other names 1

  • Cassandra Rhea Rondel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 25, 2025 through Sep 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C013878NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asencio Therapeutic Services, PLLC Clinical CurrentSince Jun 22, 2021 Accepting new patients

Locations

7810 Ballantyne Commons Pkwy
Ste 222
Charlotte, NC 28277
Phone (704) 672-0578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1407092554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HILLANDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700994",
            "telephone_number": "734-972-8970",
            "fax_number": "704-672-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 BALLANTYNE COMMONS PKWY STE 222",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773416",
            "telephone_number": "704-672-0578",
            "fax_number": "704-672-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Camino Sierra Vis # 125",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051007",
            "country_code": "US",
            "telephone_number": "505-467-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONDEL ASENCIO",
        "first_name": "CASSANDRA",
        "middle_name": "RHEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "RONDEL",
            "middle_name": "RHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.