JESSICA KASTRUP
NPI 1629407929
Social Worker - Clinical in Santa Rosa, CA

Q: What is Jessica Kastrup's NPI number?

The NPI number for Jessica Kastrup is 1629407929. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Q: What is Jessica Kastrup's specialty?

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

Q: Is Jessica Kastrup enrolled in Medicare?

No. Jessica Kastrup has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kastrup was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 06, 2013Opted out of Medicare · through Jan 1, 2027

2255 CHALLENGER WAY STE 107, SANTA ROSA, CA 95407(707) 565-7801 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, Apr 15, 2020, Dec 18, 2018 and 1 more (4 updates tracked since 2017).

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About Jessica Kastrup NPPES

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

JESSICA KASTRUP (NPI 1629407929) is an individual clinical provider in Santa Rosa, California, licensed in California (78040) and active in the NPI registry since November 2013. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1629407929

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA KASTRUP

Location Address2255 CHALLENGER WAY STE 107Santa Rosa, CA 95407-5423

Mailing Address2255 Challenger Way Ste 107Santa Rosa, CA 95407-5423

Phone(707) 565-7801

Sole ProprietorNo

Enumeration DateNovember 6, 2013

Last NPPES UpdateJuly 16, 20254 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1629407929 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 · 78040

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.

2255 CHALLENGER WAY STE 107, Santa Rosa, CA 95407

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Kastrup has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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