Provider Demographics
NPI:1417198821
Name:CLAASSEN, TERI MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:MARIE
Last Name:CLAASSEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 WEXFORD GREEN DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4087
Mailing Address - Country:US
Mailing Address - Phone:317-945-4653
Mailing Address - Fax:
Practice Address - Street 1:2003 WEXFORD GREEN DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-4087
Practice Address - Country:US
Practice Address - Phone:317-945-4653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW113621041C0700X
IN34005678A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical