Mrs Colleen Graydon Basso, LCSW is a
Social Worker - Clinical based in Manassas Park, Virginia. Mrs Colleen Graydon Basso is licensed to practice in Virginia (license number 0904013850) and her current practice location is
815b Ambrose Ln, Manassas Park, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 517-3260.
NPI number for Mrs Colleen Graydon Basso is 1558082958 and her current mailing address is 815b Ambrose Ln, Manassas Park, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558082958.
Healthcare Provider's Profile
Full Name | Mrs Colleen Graydon Basso |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 815b Ambrose Ln, Manassas Park, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558082958
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 11/18/2024
Medical Identifiers
Medical identifiers for Mrs Colleen Graydon Basso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558082958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904013850 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Colleen Graydon Basso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Colleen Graydon Basso, LCSW 815b Ambrose Ln, Manassas Park, VA 20111-2706 Ph: (703) 517-3260 | Mrs Colleen Graydon Basso, LCSW 815b Ambrose Ln, Manassas Park, VA 20111-2706 Ph: (703) 517-3260 |
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