Kasey David

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88658 Issued in CA

Practice address

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201

Phone

(951) 755-1070

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kasey David Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1568117661
  NPD (past) Authorized official
• Kasey David Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1659026631
  NPD (past) Authorized official
• Kasey David Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1891440335
  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1437532058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROOKSIDE AVE UNIT 244",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923732510",
            "telephone_number": "951-755-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "951-755-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KASEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88658",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kasey@cultureoftherapy.com",
            "affiliation": "N",
            "address_1": "201 Brookside Ave Unit 244",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923732510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Kutner a Dental Corp
• David Trung D. Nguyen, M.D., Inc.
• David W. Yang, a Professional Corporation
• David Westerberg D.D.S. Corporation
• Amelia David, DDS
• Cherilyn Elaine Davidson Cibelli, PH.D.
• Jamie Davidson
• Agnes Serafina Davis
• Benjamin Franklin Davis, MD
• Bij'on Davis

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.