Kaylan Licausi , ASW
Social Worker β’ Berkeley, CA
3075 Adeline St Ste 280
Berkeley, CA 947032580
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
3075 Adeline St Ste 280
Berkeley, CA 947032580
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Social Worker: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2023
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Berkeley and California
64 active clinicians are listed under Social Worker with a practice address in Berkeley, CA (10,337 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Berkeley
0% of these 64 clinicians have the CMS telehealth indicator.
1.6% of these 64 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-20NUCC Taxonomy Code: 104100000X
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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner
Nurse Practitioner
Family Nurse Practitioner
Nurse Practitioner - Family
Nurse Practitioner
Family Medicine
Nurse Practitioner
Advanced Registered Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Social Worker (license number reported to NPPES: CA 117156)
NPI status registered as active in NPPES database
Registered at 3075 ADELINE ST STE 280, BERKELEY, CA 947032580 (Tel: 5109814100)
Registered at 490 LAKE PARK AVE. #16172, OAKLAND, CA 94610 (Tel: 5109148884)
Recorded as KAYLAN LICAUSI, ASW
Social Worker (license number reported to NPPES: CA 117156)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
490 Lake Park Ave. #16172
Oakland, CA 94610
Phone: 5109148884