Provider Demographics
NPI:1932590791
Name:KASSE, ERYCA (LICSW)
Entity Type:Individual
Prefix:
First Name:ERYCA
Middle Name:
Last Name:KASSE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 MONTELLO AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3801
Mailing Address - Country:US
Mailing Address - Phone:202-540-0713
Mailing Address - Fax:
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:CHOICES IN HEALING & RECOVERY LLC, SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-540-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500795231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical