Provider Demographics
NPI:1356038574
Name:TCHASSEM, DAFFNEY JOSSETTE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DAFFNEY
Middle Name:JOSSETTE
Last Name:TCHASSEM
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 1:1714 CEDAR BLUFF PKWY
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4273
Mailing Address - Country:US
Mailing Address - Phone:601-597-0837
Mailing Address - Fax:
Practice Address - Street 1:1714 CEDAR BLUFF PKWY
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4273
Practice Address - Country:US
Practice Address - Phone:601-597-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX550551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical