Cassandra Lynn De Vita, LCSW
NPI 1417381526ActiveIndividual· Social Worker· Fairfield, CA
Social Worker (LCSW) in Fairfield, California, licensed in CA, with an NPI issued in August 2013. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1417381526 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 26, 2013 |
| Last updated in NPPES | May 26, 2023 |
| Certified by provider | May 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LCSW107775 | CA |
| Counselor | 101Y00000X | — | — |
| Counselor, Mental Health | 101YM0800X | ASW64308 | CA |
| Counselor, Mental Health | 101YM0800X | ACSW97931 | CA |
| Social Worker, Clinical | 1041C0700X | LCSW107775 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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