Kasandra Aussem, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700404 Issued in OH

Practice address

25111 Country Club Blvd Ste 290
North Olmsted, OH 44070-5330

Phone

(216) 468-5000

NPI assigned

Feb 27, 2016

Last updated

Mar 17, 2018By the provider in NPPES

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

• Kasandra Aussem Professional name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbc.kasandraaussem@140094.advancedmd-direct.com

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

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical

  Medicare reassignment NPD
• Tiffany Manrodt, LISW

  • Clinical Social Worker
  • Westlake, OH
  • NPI 1326557836
  Medicare reassignment
• Holding Space LLC

  dba Tiffany Manrodt

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1033772421

  Clinical

  NPD (past)

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942660394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 STONEGATE CIR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440398952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD STE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705330",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9190 Stonegate Cir",
            "address_purpose": "LOCATION",
            "city": "North Ridgeville",
            "state": "OH",
            "postal_code": "440398952",
            "country_code": "US",
            "telephone_number": "440-213-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSSEM",
        "first_name": "KASANDRA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASANDRA",
            "last_name": "AUSSEM",
            "credential": "LISW-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nakita Aquino
• Keli Arendec, LMT
• Rana Attia
• Angela Augustine, COTA/L
• Aurasmile Dental North Olmsted Inc. LLC
• Jennifer Baird
• Dawn M Barkan, O.D.
• Meghan Baron, PMHNP
• Shannon Renee Bassett
• Peter L. Baum, D.D.S.

• Clinical Social Worker in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.