Individual provider Active NPI

Brandon Kasza, MSW, LCSWA

  • Clinical Social Worker
  • Pineville, NC
National Provider Identifier
1790351476
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016131 Issued in NC
Practice address
13319 Jacks LN
Pineville, NC 28134-6480
Phone
(704) 975-1643
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016131 NC Primary

Addresses

Primary practice location

13319 Jacks LN
Pineville, NC 28134-6480

Mailing address

13319 Jacks LN
Pineville, NC 28134-6480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240611001253 NC Practitioner - Clinical Social Worker 9830631498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Psychological Associates PAGroup PAC ID 9335187442, 12 clinicians

Practice addresses (Care Compare)

10001 Old Concord Rd
Charlotte, NC 28213-3646
Phone (704) 547-1483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P016131NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Psychological Associates, P.a. CurrentSince May 31, 2024 Accepting new patients

Locations

10001 Old Concord Rd
Charlotte, NC 28213
Phone (704) 547-1483

726 East Blvd
Charlotte, NC 28203
Phone (704) 376-8494

Organizations & group practices 1

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1790351476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13319 JACKS LN",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13319 JACKS LN",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346480",
            "telephone_number": "704-975-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASZA",
        "first_name": "BRANDON",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

Verify at the official NPI Registry.