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MRS. KATRINA ROSE CASSARA LMSW
NPI 1770020802
Rehabilitation Practitioner in Las Vegas, NV

Active since January 26, 2017
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 382-7746 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2023, Jan 26, 2017 (2 updates tracked since 2017).

About Mrs. Katrina Rose Cassara Lmsw NPPES

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

MRS. KATRINA ROSE CASSARA LMSW (NPI 1770020802) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since January 2017. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1770020802
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMRS. KATRINA ROSE CASSARACredential: LMSW
Location Address2121 W CHARLESTON BLVDLas Vegas, NV 89102-2205
Mailing Address11218 Prado Del Rey LnLas Vegas, NV 89141-3921 · (702) 503-2841
Phone(702) 382-7746
Sole ProprietorYes
Enumeration DateJanuary 26, 2017
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1770020802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2121 W CHARLESTON BLVD, Las Vegas, NV 89102
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Other Names 1

Former Name (1)Mrs. Katrina Soderlund-pavon Qba

Secondary Practice Location 1

Location 16889 S Eastern AveLas Vegas, NV 89119-4687 · Phone (702) 434-1200

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.

ROBERT SOUCY LPC, LCPC, LPCC
Counselor (Mental Health)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
NICHOLE MICHELLE MCDERMOTT CADC-I
Counselor
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
CHARLESTON RESIDENTIAL SERVICES LLC
Assisted Living Facility
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
KEVIN JAMES GALL PRSS
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
JAMIE LEIGH HATFIELD
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
MRS. RODNESHIA COLEMAN CADC-I
Counselor (Addiction (Substance Use Disorder))
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
JUSTIN MARTIN LCSW
Social Worker (Clinical)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 727-4360
DAVID ALLAN BOYLE APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746

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 Katrina Cassara's NPI number?

The NPI number for Katrina Cassara is 1770020802. It was assigned to this individual provider in the NPPES registry on January 26, 2017. The provider is also known as Mrs. Katrina Soderlund-Pavon Qba.

Where is Katrina Cassara located?

Katrina Cassara practices at 2121 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 382-7746.

What is Katrina Cassara's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Katrina Cassara was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.