Individual provider Active NPI

Kathleen A Kassinger, LISW

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1417047754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0007483 Issued in OH
Practice address
96 Graham Road
Suite a Reserve Psychological Consultants Inc
Cuyahoga Falls, OH 44223
Phone
(330) 929-1326
Fax
(330) 929-1327
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I-0007483 OH Primary

Addresses

Primary practice location

96 Graham Road
Suite a Reserve Psychological Consultants Inc
Cuyahoga Falls, OH 44223

Mailing address

96 Graham Road
Suite a Reserve Psychological Consultants Inc
Cuyahoga Falls, OH 44223
Phone (330) 929-1326

Other names 1

  • Kathleen Ann Kassinger-Walter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040909000396 OH Practitioner - Clinical Social Worker 8224004361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1660 Akron Peninsula Rd
Suite 103
Akron, OH 44313-5193
Phone (330) 906-0072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0007483OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reserve Psychological Consultants Inc CurrentSince Dec 18, 2001 Accepting new patients
A Calm Place LLC CurrentSince Jul 1, 2025 Accepting new patients
Jewish Family Service of Akron Clinical Past Accepting new patients

Locations

1660 Akron Peninsula Rd
Ste 103
Akron, OH 44313
Phone (330) 906-0072

96 Graham Rd
Ste A
Cuyahoga Falls, OH 44223
Phone (330) 929-1326

263 Portage Trail Ext W
Lowr
Cuyahoga Fls, OH 44223
Phone (330) 929-1326

3632 W Market St
Ste 103
Fairlawn, OH 44333
Phone (330) 670-8090

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417047754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GRAHAM ROAD",
            "address_2": "SUITE A RESERVE PSYCHOLOGICAL CONSULTANTS INC",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GRAHAM ROAD",
            "address_2": "SUITE A RESERVE PSYCHOLOGICAL CONSULTANTS INC",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSINGER",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KASSINGER-WALTER",
            "middle_name": "ANN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.