Provider Demographics
NPI:1083065239
Name:KASSELMANN, ZSUZSA (ASW)
Entity Type:Individual
Prefix:
First Name:ZSUZSA
Middle Name:
Last Name:KASSELMANN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CARLSBAD VILLAGE DR
Mailing Address - Street 2:STE 216
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2991
Mailing Address - Country:US
Mailing Address - Phone:760-224-7735
Mailing Address - Fax:
Practice Address - Street 1:300 CARLSBAD VILLAGE DR STE 216
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2991
Practice Address - Country:US
Practice Address - Phone:760-224-7735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
CA774151041C0700X
CALCSW1002421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health