Healthcare Provider Details

I. General information

NPI: 1013018647
Provider Name (Legal Business Name): JANET KASS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MOUNTAIN VIEW AVE
MILL VALLEY CA
94941-1743
US

IV. Provider business mailing address

222 MOUNTAIN VIEW AVE
MILL VALLEY CA
94941-1743
US

V. Phone/Fax

Practice location:
  • Phone: 510-417-6732
  • Fax: 888-965-0584
Mailing address:
  • Phone: 510-417-6732
  • Fax: 888-965-0584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR032617-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: