Individual provider Active NPI

Ksusha Cascio, LMSW

  • Social Worker
  • Rocky Point, NY
National Provider Identifier
1477096543
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9459916 Issued in NY
Practice address
38 Tarpon Rd
Rocky Point, NY 11778
Phone
(631) 461-7331
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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 9459916 NY Primary

Addresses

Primary practice location

38 Tarpon Rd
Rocky Point, NY 11778

Mailing address

38 Tarpon Rd
Rocky Point, NY 11778
Phone (631) 461-7331

Other names 1

  • Ksusha Devault Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220609000586 NY Practitioner - Clinical Social Worker 1254719867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Rachel Lessard LCSW PCGroup PAC ID 9032517107, 9 clinicians

Practice addresses (Care Compare)

496 Smithtown Byp
Suite 203
Smithtown, NY 11787-5011
Phone (516) 404-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9459916NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Lessard LCSW PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

520 Franklin Ave
Ste L1
Garden City, NY 11530
Phone (516) 366-1094

4160 Merrick Rd
Ste 5
Massapequa, NY 11758
Phone (631) 615-1732

1227 Main St
Ste 101
Prt Jefferson, NY 11777
Phone (631) 606-6173

496 Smithtown Byp
Ste 203
Smithtown, NY 11787
Phone (516) 404-7337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1477096543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TARPON RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "631-461-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TARPON RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "631-461-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCIO",
        "first_name": "KSUSHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "9459916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KSUSHA",
            "last_name": "DEVAULT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocky Point, NY

Sources for this page

Verify at the official NPI Registry.