Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. COLLEEN GRAYDON BASSO, LCSW
Active Sole ProprietorMRS. COLLEEN GRAYDON BASSO, LCSW is a Clinical Social Worker healthcare provider located in MANASSAS PARK, Virginia. NPI 1558082958 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MANASSAS PARK, VA
Registration Details
- NPI Number
- 1558082958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2022 (3.9821849212799 yrs)
- Last Updated
- Nov 18, 2024
- License
-
0904013850 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
815B AMBROSE LNMANASSAS PARK, VA, 201112706Browse VA providers · Browse ZIP 20111
- Phone
- 7035173260
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MANASSAS PARK, VA
| Name | Credential | NPI |
|---|---|---|
| GRACIELA SEJAS-PADILLA | — | 1700583838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.