Provider Demographics
NPI:1629793047
Name:DEBASC, HADASSA SASSON (LCSW)
Entity Type:Individual
Prefix:
First Name:HADASSA
Middle Name:SASSON
Last Name:DEBASC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DASSY
Other - Middle Name:SASSON
Other - Last Name:DEBASC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15030 VENTURA BLVD # 216
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5470
Mailing Address - Country:US
Mailing Address - Phone:818-919-6045
Mailing Address - Fax:
Practice Address - Street 1:15030 VENTURA BLVD # 216
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5470
Practice Address - Country:US
Practice Address - Phone:818-213-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1032631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical