Individual provider Active NPI

Joan Claassen, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1508960022
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 1590 Issued in CA
Practice address
1472 W Shaw Ave
Fresno, CA 93711-3607
Phone
(559) 977-8953
Fax
(559) 438-0418
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 1590 CA Primary
Marriage & Family Therapist 106H00000X 4101 CA

Addresses

Primary practice location

1472 W Shaw Ave
Fresno, CA 93711-3607

Mailing address

1472 W Shaw Ave
Fresno, CA 93711-3607
Phone (559) 977-8953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051025001006 CA Practitioner - Clinical Social Worker 9830116268 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1472 W Shaw Ave
Fresno, CA 93711-3607
Phone (559) 977-8953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 1590CAMDClinical Social Worker
1590CAMDPediatric Occupational Therapist
4101CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1508960022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-977-8953",
            "fax_number": "559-438-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-977-8953",
            "fax_number": "559-438-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAASSEN",
        "first_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 1590",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "4101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.