Provider Demographics
NPI:1518446061
Name:CASTON BASSETT, SHEENA ROCHELLE (MSW, PCMHT)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:ROCHELLE
Last Name:CASTON BASSETT
Suffix:
Gender:F
Credentials:MSW, PCMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 E RIVER PL STE 100
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39202-3442
Mailing Address - Country:US
Mailing Address - Phone:601-738-5260
Mailing Address - Fax:
Practice Address - Street 1:3530 MANOR DR
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-5625
Practice Address - Country:US
Practice Address - Phone:601-738-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker