| Mrs Tessa Claire Basco, LISW | |
|
591 Boston Mills Rd Ste 550, Hudson, OH 44236-1160 | |
| (234) 269-6200 | |
| (234) 602-2192 |
| Full Name | Mrs Tessa Claire Basco |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 591 Boston Mills Rd Ste 550, Hudson, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013433937 | NPI | - | NPPES |
| 0247305 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1700513 (Ohio) | Primary |
| Entity Name | Coleman Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085 |
| Entity Name | Jones-wood Psychological Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699190306 PECOS PAC ID: 6507086253 Enrollment ID: O20141001002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tessa Claire Basco, LISW Po Box 426, Lake Providence, LA 71254-0426 Ph: (318) 559-2248 | Mrs Tessa Claire Basco, LISW 591 Boston Mills Rd Ste 550, Hudson, OH 44236-1160 Ph: (234) 269-6200 |
Mrs. Shannon Rae Speaks, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 56 Milford Dr, Hudson, OH 44236 Phone: 216-245-5213 | |
Caitlin Hagg, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 581 Boston Mills Rd Ste 400, Hudson, OH 44236 Phone: 234-348-4459 | |
Kami Imes, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192 | |
Mrs. Juliane Christine Belisle, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192 | |
Russell Alan Buckbee, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Village Way Ste 1a, Hudson, OH 44236 Phone: 330-655-2674 | |
Jennifer Turk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Bradley Dr, Hudson, OH 44236 Phone: 216-849-2825 |