Individual provider Active NPI

Joe Isaac Sasson, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1700138559
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75121 Issued in CA
Practice address
2816 Adams Ave
San Diego, CA 92116-1401
Phone
(619) 887-9324
Fax
(205) 386-9610
NPI assigned
Oct 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61989 CA
Clinical Social Worker 1041C0700X X-07762 NM
School Social Worker 1041S0200X X-07762 NM
Clinical Social Worker 1041C0700X 75121 CA Primary

Addresses

Primary practice location

2816 Adams Ave
San Diego, CA 92116-1401

Mailing address

3955 7TH Ave
3
San Diego, CA 92103-3215
Phone (619) 887-9324

Other practice location 1

1150 Silverado St
LA Jolla, CA 92037-4524
Phone (619) 563-8437

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
I20190311000715 CA Practitioner - Clinical Social Worker 9537408430 Reassigns benefits to 2 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Psychology Centers ApcGroup PAC ID 6406170653, 23 clinicians

Practice addresses (Care Compare)

8775 Aero Dr
Suite 238
San Diego, CA 92123-1756
Phone (619) 930-9524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-07762NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Psychology Centers, Apc CurrentSince Jan 11, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jan 16, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jan 16, 2019 Accepting new patients
Seeking Sanctuary PastSince Apr 23, 2023 Accepting new patients

Locations

4725 Market St
San Diego, CA 92102
Phone (619) 515-2560

8775 Aero Dr
Ste 238
San Diego, CA 92123
Phone (619) 930-9524

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1700138559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 7TH AVE",
            "address_2": "3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033215",
            "telephone_number": "619-887-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161401",
            "telephone_number": "619-887-9324",
            "fax_number": "205-386-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Silverado St",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374524",
            "country_code": "US",
            "telephone_number": "619-563-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSON",
        "first_name": "JOE",
        "middle_name": "ISAAC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "61989",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-07762",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-07762",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.