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

Miss. Cassandra Lynn De Vita, LCSW

Individual provider Counselor · NPI 1417381526

Miss. Cassandra Lynn De Vita, LCSW is a Clinical Social Worker in Fairfield, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2013
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

275 Beck Ave # MS 5120
Fairfield, CA 94533-6804
Phone: (707) 784-8065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW107775 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW64308 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ACSW97931 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW107775 (CA)

Record details

NPI number1417381526
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 26, 2013
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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