Provider Demographics
NPI:1740614049
Name:BASSETT, LYNN CALE (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:CALE
Last Name:BASSETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 BRAGAW LN
Mailing Address - Street 2:
Mailing Address - City:CHOCOWINITY
Mailing Address - State:NC
Mailing Address - Zip Code:27817-8415
Mailing Address - Country:US
Mailing Address - Phone:252-946-9562
Mailing Address - Fax:252-974-9225
Practice Address - Street 1:740 BRAGAW LN
Practice Address - Street 2:
Practice Address - City:CHOCOWINITY
Practice Address - State:NC
Practice Address - Zip Code:27817-8415
Practice Address - Country:US
Practice Address - Phone:252-946-9562
Practice Address - Fax:252-974-9225
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0097541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical