KASSANDRA HURTADO WOODSON LCSW
NPI 1295482552
Social Worker - Clinical in Tustin, CA

Active since March 07, 2022PECOS Enrolled
1 HOPE DR, TUSTIN, CA 92782(714) 247-0300(714) 259-1598 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Mar 7, 2022 (2 updates tracked since 2022).

About Kassandra Hurtado Woodson Lcsw NPPES

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

KASSANDRA HURTADO WOODSON LCSW (NPI 1295482552) is an individual clinical provider in Tustin, California, licensed in California (92108) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295482552
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASSANDRA HURTADO WOODSONCredential: LCSW
Location Address1 HOPE DRTustin, CA 92782-0221
Mailing Address14642 Newport Ave Ste 300Tustin, CA 92780-6059 · (714) 247-0300 · Fax (714) 259-1369
Fax(714) 259-1598
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 7, 2022
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1295482552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 92108
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.
1 HOPE DR, Tustin, CA 92782

Secondary Practice Locations 3

Location 11100B N Tustin Ave Ste ASanta Ana, CA 92705-3505 · Phone (714) 247-0300 · Fax (714) 259-1598
Location 214642 Newport Ave Ste 200Tustin, CA 92780-6058 · Phone (714) 247-0300 · Fax (714) 259-1369
Location 3947 S Anaheim Blvd Ste 260Anaheim, CA 92805-5591 · Phone (714) 247-0300 · Fax (714) 259-1598

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kassandra Hurtado Woodson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820502941
PECOS Enrollment IDI20250709003315
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 92782 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Registered Nurse
1 HOPE DR
TUSTIN, CA 92782
Social Worker (Clinical)
1 HOPE DR
TUSTIN, CA 92782
Social Worker (Clinical)
1 HOPE DR
TUSTIN, CA 92782
Nurse Practitioner (Family)
1 HOPE DR
TUSTIN, CA 92782
Dental Hygienist
1 HOPE DR
TUSTIN, CA 92782
Nurse Practitioner (Family)
1 HOPE DR
TUSTIN, CA 92782
Family Medicine
1 HOPE DR
TUSTIN, CA 92782
Family Medicine
1 HOPE DR
TUSTIN, CA 92782

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 Kassandra Woodson's NPI number?

The NPI number for Kassandra Woodson is 1295482552. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Kassandra Woodson located?

Kassandra Woodson practices at 1 Hope Dr, Tustin, CA 92782. The listed phone number is (714) 247-0300.

What is Kassandra Woodson's specialty?

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

Is Kassandra Woodson enrolled in Medicare?

Yes. Kassandra Woodson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kassandra Woodson was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.