Provider Demographics
NPI:1619294683
Name:BASSETT, JAMES D (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:BASSETT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0255
Mailing Address - Country:US
Mailing Address - Phone:530-899-3150
Mailing Address - Fax:530-899-3160
Practice Address - Street 1:3255 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0255
Practice Address - Country:US
Practice Address - Phone:530-899-3150
Practice Address - Fax:530-899-3160
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA237141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical