Kassandra Mejia, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW109754 Issued in CA

Practice address

11434 B Ave
Auburn, CA 95603-2603

Phone

(530) 906-5526

NPI assigned

Oct 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1497576235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 3RD ST",
            "city": "WHEATLAND",
            "state": "CA",
            "postal_code": "956929788",
            "telephone_number": "916-792-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11434 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032603",
            "telephone_number": "530-906-5526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956785134",
            "country_code": "US",
            "telephone_number": "916-746-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "KASSANDRA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW109754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Vision Technology Ophthalmology Group, Inc.
• Meagan Medina, LPT
• Lanea Charlene Medlar
• Jennifer Marie Medrano-Page, CADCII
• Pooja Deepakbhai Mehta, DDS
• Martin Melgoza
• Robin Mellott
• Menm LLC
• Daniel Merck, MD
• Merrill Powers, MSW, LCSW, PC

• Social Worker in Auburn, CA
• Providers in Auburn, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.