KASSAUNDRA ALEXIS GUTIERREZ-THOMPSON MSW, LCSW
NPI 1700545456
Social Worker - Clinical in Santa Monica, CA

Active since December 09, 2021PECOS Enrolled
2001 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 301-7396(310) 828-5165 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Dec 9, 2021 (2 updates tracked since 2021).

About Kassaundra Alexis Gutierrez-thompson Msw, Lcsw NPPES

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

KASSAUNDRA ALEXIS GUTIERREZ-THOMPSON MSW, LCSW (NPI 1700545456) is an individual clinical provider in Santa Monica, California, licensed in California (127908) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700545456
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASSAUNDRA ALEXIS GUTIERREZ-THOMPSONCredential: MSW, LCSW
Location Address2001 SANTA MONICA BLVDSanta Monica, CA 90404-2102
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 828-5165
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 9, 2021
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1700545456 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 · 127908
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.
2001 SANTA MONICA BLVD, Santa Monica, CA 90404

Secondary Practice Location 1

Location 1393 E Walnut StPasadena, CA 91188-3618 · Phone (530) 220-2158

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kassaundra Alexis Gutierrez-thompson Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42721979
PECOS Enrollment IDI20250617002189
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 90404 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.

Podiatrist (Foot & Ankle Surgery)
2001 SANTA MONICA BLVD, SUITE 983W
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD, 990W
SANTA MONICA, CA 90404
Urology
2001 SANTA MONICA BLVD, SUITE 1165 W
SANTA MONICA, CA 90404
Family Medicine
2001 SANTA MONICA BLVD, 1070
SANTA MONICA, CA 90404
Surgery
2001 SANTA MONICA BLVD, 460 W
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD, SUITE 990W
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD, SUITE 1250 W
SANTA MONICA, CA 90404
Urology
2001 SANTA MONICA BLVD, SUITE 590W
SANTA MONICA, CA 90404

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 Kassaundra Gutierrez-thompson's NPI number?

The NPI number for Kassaundra Gutierrez-thompson is 1700545456. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Kassaundra Gutierrez-thompson located?

Kassaundra Gutierrez-thompson practices at 2001 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 301-7396.

What is Kassaundra Gutierrez-thompson's specialty?

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

Is Kassaundra Gutierrez-thompson enrolled in Medicare?

Yes. Kassaundra Gutierrez-thompson is registered in the Medicare PECOS enrollment system.

What insurance does Kassaundra Gutierrez-thompson accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Kassaundra Gutierrez-thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassaundra Gutierrez-thompson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.