1. Home
  2. Directory
  3. California
  4. Shasta Lake
  5. Social Worker
  6. NPI Profile

MARION ANN ROSE KVASNICKA LCSW
NPI 1770079626
Social Worker - Clinical in Shasta Lake, CA

Active since July 03, 2018PECOS Enrolled
4673 LOCH PL, SHASTA LAKE, CA 96019(530) 921-5715 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2022, Jul 3, 2018 (2 updates tracked since 2018).

About Marion Ann Rose Kvasnicka Lcsw NPPES

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

MARION ANN ROSE KVASNICKA LCSW (NPI 1770079626) is an individual clinical provider in Shasta Lake, California, licensed in California (LCSW110553) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770079626
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARION ANN ROSE KVASNICKACredential: LCSW
Location Address4673 LOCH PLShasta Lake, CA 96019-2167
Mailing Address4673 Loch PlShasta Lake, CA 96019-2167 · (530) 921-5715
Phone(530) 921-5715
Sole ProprietorNo
Enumeration DateJuly 3, 2018
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1770079626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW110553
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 7980-S (NV)
4673 LOCH PL, Shasta Lake, CA 96019
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marion Ann Rose Kvasnicka Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marion Kvasnicka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
231 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96019 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 Marion Kvasnicka's NPI number?

The NPI number for Marion Kvasnicka is 1770079626. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Marion Kvasnicka located?

Marion Kvasnicka practices at 4673 Loch Pl, Shasta Lake, CA 96019. The listed phone number is (530) 921-5715.

What is Marion Kvasnicka's specialty?

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

Is Marion Kvasnicka enrolled in Medicare?

Yes. Marion Kvasnicka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marion Kvasnicka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marion Kvasnicka reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marion Kvasnicka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marion Kvasnicka was last updated on December 7, 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.