Provider Demographics
NPI:1295890028
Name:BASSING, TRICIA (LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:
Last Name:BASSING
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 WISCONSIN AVE NW
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2812
Mailing Address - Country:US
Mailing Address - Phone:202-244-0442
Mailing Address - Fax:
Practice Address - Street 1:4115 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2812
Practice Address - Country:US
Practice Address - Phone:202-244-0442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040038291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA546001103002OtherTRICARE
VT188507OtherANTHEM
VA298886OtherAMERIGROUP VIRGINIA, INC
VAA439OtherCARE FIRST BCBS
VA004945026Medicaid
VA298886OtherAMERIGROUP VIRGINIA, INC