CASSANDRA A CARLSON LCSW
NPI 1205649498
Social Worker - Clinical in Mequon, WI

Q: What is Cassandra Carlson's NPI number?

The NPI number for Cassandra Carlson is 1205649498. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Q: What is Cassandra Carlson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Cassandra Carlson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2025PECOS Enrolled

11649 N PORT WASHINGTON RD STE 221, MEQUON, WI 53092(262) 912-1922 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Cassandra A Carlson Lcsw NPPES

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

CASSANDRA A CARLSON LCSW (NPI 1205649498) is an individual clinical provider in Mequon, Wisconsin, licensed in Wisconsin (13038-123) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205649498

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCASSANDRA A CARLSONCredential: LCSW

Location Address11649 N PORT WASHINGTON RD STE 221Mequon, WI 53092-3461

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (262) 999-3495

Phone(262) 912-1922

Sole ProprietorNo

Enumeration DateJanuary 30, 2025

Last NPPES UpdateJuly 27, 2026

NPPES CertifiedJuly 27, 2026

✔ NPI 1205649498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 13038-123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20604 (WI)

11649 N PORT WASHINGTON RD STE 221, Mequon, WI 53092

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra A Carlson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

TATYANA P SIMINAK APNP

Nurse Practitioner (Psychiatric/Mental Health)