Individual provider Active NPI

Colleen Casady, DSW

  • Clinical Social Worker
  • Burbank, CA
National Provider Identifier
1497377071
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23893 Issued in CA
Practice address
4318 W Jeffries Ave
Burbank, CA 91505-1709
Phone
(818) 395-1107
NPI assigned
May 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2020

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 23893 CA Primary

Addresses

Primary practice location

4318 W Jeffries Ave
Burbank, CA 91505-1709

Mailing address

4318 W Jeffries Ave
Burbank, CA 91505-1709
Phone (818) 395-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. Clinical CurrentSince Aug 30, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 30, 2024 Accepting new patients

Locations

2555 E Colorado Blvd
Ste 101
Pasadena, CA 91107
Phone (909) 898-4055

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

Interoperability endpoints

  • Direct secure messaging: colleen.casady.1@28621.direct.athenahealth.com

Organizations & group practices 2

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": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1497377071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W JEFFRIES AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051709",
            "telephone_number": "818-395-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 W JEFFRIES AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051709",
            "telephone_number": "818-395-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASADY",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.