Lucinda Jane Bassili in Carrollton - Clinical

Lucinda Jane Bassili - NPI 1912094327

Lucinda Jane Bassili is a Clinical in Carrollton, Texas. Lucinda Jane Bassili practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lucinda Jane Bassili is 1912094327. The last update date is 2012-06-18.

Lucinda Jane Bassili's current location address is 1713 Ridge Rd, Carrollton, Texas. You can contact this provider via phone number 4695465360 and fax number 4693752482. The mailing address for Lucinda Jane Bassili is 1713 Ridge Rd, Carrollton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lucinda Jane Bassili
Address 1713 Ridge Rd, Carrollton, Texas
Phone Number 4695465360
Fax Number 4693752482
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1912094327
Provider Enumeration Date 2006-10-06
Last Updated Date 2012-06-18

Provider Mailing Address Detail

Address 1713 Ridge Rd
City Carrollton
State Texas (TX)
Post Code 750063901
Phone Number 4695465360
Fax Number 4693752482

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 19671
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
188190769 TX GROUP PTAN: TXB139015
1912094327 TX INDIVIDUAL PTAN: TXB139016

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FAQs about Lucinda Jane Bassili

What is the Lucinda Jane Bassili's 1912094327?

The Lucinda Jane Bassili's NPI (National Provider Identifier) Number is 1912094327. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lucinda Jane Bassili located?

The Lucinda Jane Bassili is located at 1713 Ridge Rd, Carrollton, TX 750063901.

What is Lucinda Jane Bassili's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lucinda Jane Bassili is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Lucinda Jane Bassili receive the assignment of its 1912094327 from the Centers for Medicare & Medicaid Services?

The Lucinda Jane Bassili was issued its 1912094327 by the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information related to Lucinda Jane Bassili most recently updated or refreshed?

The details pertaining to the Lucinda Jane Bassili, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-18.

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