Ksusha Cascio, LMSW

Individual provider Active NPI Social Worker · Rocky Point, NY

NPI 1477096543 · NPPES record last updated Nov 22, 2016

Key facts

NPI
1477096543
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
9459916 (NY)
Practice address
38 Tarpon Rd
Rocky Point, NY 11778
Phone
(631) 461-7331
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Rachel Lessard LCSW PC (9 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220609000586 NY Practitioner - Clinical Social Worker 1254719867 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9459916NYMDSocial Worker

Practice roles

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

Locations

520 Franklin Ave
Ste L1
Garden City, NY 11530
Phone (516) 515-0696

4160 Merrick Rd
Ste 5
Massapequa, NY 11758
Phone (631) 371-3825

1227 Main St
Ste 101
Prt Jefferson, NY 11777
Phone (631) 371-3825

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9459916 NY Yes

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

  • Ksusha Devault Other name

Other providers in Rocky Point, NY

All providers in Rocky Point, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.