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Individual

MS. TRICIA BASSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW

Contact information

Practice address
4115 WISCONSIN AVE NW, SUITE 203, WASHINGTON, DC 20016-2812
(202) 244-0442
Mailing address
4115 WISCONSIN AVE NW, SUITE 203, WASHINGTON, DC 20016-2812
(202) 244-0442

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003829
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945026
VA
01
188507
ANTHEM
VT
01
298886
AMERIGROUP VIRGINIA, INC
VA
01
546001103002
TRICARE
VA
01
A439
CARE FIRST BCBS
VA
Enumeration date
12/22/2006
Last updated
06/13/2024
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