Sue Anne Lassin, LCSW is a
Social Worker - Clinical based in Fort Campbell, Kentucky. Sue Anne Lassin is licensed to practice in Georgia (license number CSW004573) and her current practice location is
650 Joel Dr, Fort Campbell, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 461-2859.
NPI number for Sue Anne Lassin is 1215143292 and her current mailing address is 1940 Whirlaway Cir, Clarksville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215143292.
Healthcare Provider's Profile
| Full Name | Sue Anne Lassin |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215143292
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 01/09/2019
Medical Identifiers
Medical identifiers for Sue Anne Lassin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215143292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSW004573 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | CSW004573 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6762 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW004573 (Georgia) | 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. Sue Anne Lassin 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 |
|---|
Sue Anne Lassin, LCSW
1940 Whirlaway Cir,
Clarksville, TN 37042-1503
Ph: (931) 614-8245 | Sue Anne Lassin, LCSW
650 Joel Dr,
Fort Campbell, KY 42223
Ph: (270) 461-2859 |
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