Cassandra A. Carlson, LCSW
NPI 1205649498ActiveIndividual· Social Worker, Clinical· Mequon, WI
Social Worker, Clinical (LCSW) in Mequon, Wisconsin, licensed in WI, with an NPI issued in January 2025. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1205649498 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 30, 2025 |
| Last updated in NPPES | Jul 27, 2026 |
| Certified by provider | Jul 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 13038-123 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 20604 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 54 clinical social workers in Mequon · All clinical social workers in Wisconsin