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KAYLAN LICAUSI ASW
NPI 1184400285
Social Worker in Berkeley, CA

Active since September 05, 2023
3075 ADELINE ST STE 280, BERKELEY, CA 94703(510) 981-4100 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2026, Sep 5, 2023 (2 updates tracked since 2023).

About Kaylan Licausi Asw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLAN LICAUSI ASW (NPI 1184400285) is an individual social worker in Berkeley, California, licensed in California (117156) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1184400285
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAYLAN LICAUSICredential: ASW
Location Address3075 ADELINE ST STE 280Berkeley, CA 94703-2580
Mailing Address490 Lake Park Ave. #16172Oakland, CA 94610 · (510) 914-8884
Phone(510) 981-4100
Sole ProprietorNo
Enumeration DateSeptember 5, 2023
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1184400285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 117156
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3075 ADELINE ST STE 280, Berkeley, CA 94703
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA VAN KESSEL RN
Registered Nurse
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 486-3452
MARIAM ATTAWIA NP
Nurse Practitioner (Family)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
NICOLE SATA
Advanced Practice Midwife
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
MICHELLE MYOUNGWOO PARK NP, RN
Nurse Practitioner (Family)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
SARAH CLUFF RN
Clinical Nurse Specialist (Gerontology)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 486-3471
LIFELONG MEDICAL CARE
Non-Pharmacy Dispensing Site
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
JANELLE ABIGAIL SILVIS RN, MSN, AGPCNP-BC
Nurse Practitioner (Primary Care)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100
AMY MOSLEY FNP-C, L.AC.
Nurse Practitioner (Family)
3075 ADELINE ST STE 280
BERKELEY, CA 94703
Alameda County (510) 981-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylan Licausi's NPI number?

The NPI number for Kaylan Licausi is 1184400285. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Kaylan Licausi located?

Kaylan Licausi practices at 3075 Adeline St Ste 280, Berkeley, CA 94703. The listed phone number is (510) 981-4100.

What is Kaylan Licausi's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kaylan Licausi was last updated on March 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.