Active NPI
Kaitlin Casassa, LSW
- Social Worker
- Columbus, OH
National Provider Identifier
1639622731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1600307
- Practice address
- 455 E Mound St
Columbus, OH 43215-5595 - Phone
- (614) 242-1284
- Fax
- (614) 242-1285
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1600307 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | S.1600307 | OH | |
| Mental Health Counselor | 101YM0800X | S.1600307 | OH |
Addresses
Primary practice location
455 E Mound St
Columbus, OH 43215-5595
Mailing address
455 E Mound St
Columbus, OH 43215-5595
Phone (614) 242-1284
Other practice location 1
399 E Main St
Columbus, OH 43215-5384
Phone (614) 355-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH |
Other names 1
- Kaitlin Sherry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600307 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1639622731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E MOUND ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155595",
"telephone_number": "614-242-1284",
"fax_number": "614-355-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E MOUND ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155595",
"telephone_number": "614-242-1284",
"fax_number": "614-242-1285"
}
],
"practiceLocations": [
{
"address_1": "399 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432155384",
"country_code": "US",
"telephone_number": "614-355-8550",
"fax_number": "614-355-8593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASASSA",
"first_name": "KAITLIN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1600307",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "S.1600307",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.1600307",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846675",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "SHERRY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.