Katrina Rose Cassara, LMSW

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2121 W Charleston Blvd
Las Vegas, NV 89102-2205

Phone

(702) 382-7746

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Katrina Soderlund-Pavon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1770020802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11218 PRADO DEL REY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413921",
            "telephone_number": "702-503-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022205",
            "telephone_number": "702-382-7746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6889 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194687",
            "country_code": "US",
            "telephone_number": "702-434-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSARA",
        "first_name": "KATRINA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "SODERLUND-PAVON",
            "prefix": "MRS.",
            "credential": "QBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Jane Caspy, LCSW
• Araceli Casrola
• Jo'Ann Cass, CERTIFICATE
• Kathleen Ann Cass, MD PHD
• Macy Cass
• Joyce H. Cassen, MD
• Jacob Cassens
• Dominick Daniel Long Cassese, RN
• James J Cassidy II, LADC, CPC INTERN
• Traci L Cassidy, PT

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.