Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184400285 Individual Practitioner Female Practitioner

Kaylan Licausi , ASW

Social Worker • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Kaylan Licausi, ASW is a registered healthcare professional specializing in Social Worker in Berkeley, CA. Practice services are available at 3075 ADELINE ST STE 280 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3075 Adeline St Ste 280

Berkeley, CA 947032580

Telephone 5109814100
Associated Practice Facility / Clinic
🏢 Lifelong Medical Care Facility NPI 1457758724

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
63 Specialists

Practicing in Berkeley, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA 117156

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Reiko Sales , RN

Registered Nurse

NPI 1013446236

Registered Nurse

Jennifer Guzman , RN

Registered Nurse - Community Health

NPI 1013876317

Registered Nurse

Vanessa Mayen , RN, NP

Nurse Practitioner - Family

NPI 1023462694

Registered Nurse, Nurse Practitioner

Alayna Liptak , APRN

Nurse Practitioner - Family

NPI 1023622115

Advanced Practice Registered Nurse

Zena Herman , FNP

Nurse Practitioner

NPI 1023668498

Family Nurse Practitioner

Brian Beachler

Family Medicine

NPI 1043715816

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2026

Social Worker (License #117156 in CA)

NPI Profile Active September 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2023

Registered at 3075 ADELINE ST STE 280, BERKELEY, CA 947032580 (Tel: 5109814100)

📍
Updated Business Mailing Address September 05, 2023

Registered at 490 LAKE PARK AVE. #16172, OAKLAND, CA 94610 (Tel: 5109148884)

👤
Provider Name / Credentials Updated September 05, 2023

Recorded as KAYLAN LICAUSI, ASW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Social Worker (License #117156 in CA)

🟢
Initial NPI Registration & Enumeration September 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184400285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2023
Last Update: March 20, 2026
Sole Proprietor: No

Mailing Address

490 Lake Park Ave. #16172

Oakland, CA 94610

Phone: 5109148884

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.