Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kassandra Nicole Placencio

Individual provider Clinical Social Worker · NPI 1629952858

Kassandra Nicole Placencio is a Clinical Social Worker in Grand Forks, North Dakota. Qualified in 2021, 5 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2025
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Practice location Address checks out

3674 S Washington St
Grand Forks, ND 58201
Phone: (701) 732-2538
Fax: (701) 732-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1629952858
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Grand Forks