Individual provider Active NPI

Kassandra Victoria Garcia, LICSW

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1902380728
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120644 Issued in MA
Practice address
10 Liberty St Ste 218
Danvers, MA 01923-2577
Phone
(978) 996-4078
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120644 MA Primary
Social Worker 104100000X 120644 MA

Addresses

Primary practice location

10 Liberty St Ste 218
Danvers, MA 01923-2577

Mailing address

9 West St
Danvers, MA 01923-1303
Phone (978) 996-4078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

86 Cobblestone Rd
Barnstable, MA 02630-1604

9 W St
Danvers, MA 01923-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120644MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Therapy Inc Clinical CurrentSince Feb 19, 2023 Accepting new patients

Locations

85 Constitution Ln
Ste 1C
Danvers, MA 01923

10 Liberty St
Danvers, MA 01923
Phone (617) 595-3232

10 Liberty St
Ste 218
Danvers, MA 01923
Phone (978) 996-4078

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1902380728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WEST ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231303",
            "telephone_number": "978-996-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY ST STE 218",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232577",
            "telephone_number": "978-996-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KASSANDRA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120644",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "120644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.