Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY DEAN VAN TASSEL, LCSW
ActiveJIMMY DEAN VAN TASSEL, LCSW is a Clinical Social Worker healthcare provider located in MODESTO, California. NPI 1699831214 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MODESTO, CA
Registration Details
- NPI Number
- 1699831214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.482050462156 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LCS 17803 (CA)
Practice Information
- Address
-
1320 STANDIFORD AVEMODESTO, CA, 953500726Browse CA providers · Browse ZIP 95350
- Phone
- 2095575765
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM LEON BODDIE II | L.C.S.W | 1003842311 |
| MRS. KATHERINE MARY SCHOLTEN | LMSW | 1952334880 |
| MS. CYNTHIA SUZANNE CHAPA | LCSW | 1578585782 |
| PAUL SAMUEL CRENSHAW | LCSW | 1033125059 |
| MR. DANIEL J. BRUCE | L.C.S.W. | 1891889366 |
| JAMES RILEY | ASW | 1548327216 |
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.