Active NPI
Joan Claassen, LCSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1508960022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 1590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 1590 | CA | MD | Clinical Social Worker |
| 1590 | CA | MD | Pediatric Occupational Therapist |
| 4101 | CA | MD | Pediatric 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.