Kasandra Louise Owusu, LCSW
Social Worker, Clinical in Provo, UT. Individual provider (NPI-1).
NPI number1962030429
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1962030429
- Entity type
- Individual (NPI-1)
- Name
- Kasandra Louise Owusu
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 101867333501 | UT | Yes |
Other names
- Kasandra Louise Atkinson (Former Name)
Practice location
750 N Freedom BlvdProvo, UT 84601-1677
Phone 801-373-4760 · Fax 801-373-0639
Mailing address
750 N Freedom BlvdProvo, UT 84601-1677
Phone 801-373-4760 · Fax 801-373-0639
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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