Kasey David Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KASEY DAVID LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201

Phone

(951) 755-1070

NPI assigned

Feb 17, 2022

Last updated

May 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kasey R David, LCSWNPI 1437532058

Title

Director

Phone

(951) 755-1070

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Kasey David Licensed Clinical Social Worker Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kasey David Licensed Clinical Social Worker, Inc.

  dba Kasey & Co. Therapy Group

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1568117661
  NPD tax ID
• Kasey David Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1891440335
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kasey David

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1437532058
  NPD (past) Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1659026631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROOKSIDE AVE UNIT 244",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923732510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "951-755-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASEY DAVID LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-755-1070",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connect@cultureoftherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1480 Galaxy Dr",
            "city": "Beaumont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922233457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shivani Karre, DDS
• Lusiana Kartawidjaja, M.D.
• Lindsey Mon'Chai As'Ia Kartier, ASW135737
• Tilan Karunanayake
• Kasey David Licensed Clinical Social Worker, Inc. (Kasey & Co. Therapy Group)
• Kasey David Licensed Clinical Social Worker, Inc.
• Kashamat Group LLC
• Kasiva LLC
• Tony Kastoon, M.D.
• Athena Katerelos

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.