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MS. KASSANDRA BENNETT EDWARDS LCSW, MFT
NPI 1578630745
Social Worker - Clinical in San Mateo, CA

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
511 PARROTT DRIVE SAN MATEO, SAN MATEO, CA 94402(650) 340-8866(650) 742-7105 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2020, Oct 23, 2020 (2 updates tracked since 2020).

About Ms. Kassandra Bennett Edwards Lcsw, Mft NPPES

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

MS. KASSANDRA BENNETT EDWARDS LCSW, MFT (NPI 1578630745) is an individual clinical provider in San Mateo, California, licensed in California (LCS13017) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1578630745
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KASSANDRA BENNETT EDWARDSCredential: LCSW, MFT
Location Address511 PARROTT DRIVE SAN MATEOSan Mateo, CA 94402-9440
Mailing Address511 Parrott Drive San MateoSan Mateo, CA 94402-3048 · (650) 340-8866 · Fax (650) 742-7135
Phone(650) 340-8866
Fax(650) 742-7105
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 30, 2006
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1578630745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCS13017✔ Licensed in CA · LCSW13017
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.
511 PARROTT DRIVE SAN MATEO, San Mateo, CA 94402
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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 and accepts Medicare assignment

Ms. Kassandra Bennett Edwards Lcsw, Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971809849
PECOS Enrollment IDI20160303000561
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 94402 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Edwards's NPI number?

The NPI number for Kassandra Edwards is 1578630745. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Kassandra Edwards located?

Kassandra Edwards practices at 511 Parrott Drive San Mateo, San Mateo, CA 94402. The listed phone number is (650) 340-8866.

What is Kassandra Edwards's specialty?

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

Is Kassandra Edwards enrolled in Medicare?

Yes. Kassandra Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kassandra Edwards was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.