Tessa Claire Basco, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700513 Issued in OH

Practice address

115 Executive Pkwy Ste 400
Hudson, OH 44236-1693

Phone

(234) 269-6200

NPI assigned

Aug 22, 2017

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Tessa Claire Wilson Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• KY PPO
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• KY PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633

  Clinical

  Medicare reassignment NPD
• Jones-Wood Psychological Associates, Inc.

  • Psychologist
  • Chagrin Falls, OH
  • NPI 1699190306
  Medicare reassignment NPD
• Cypress at Lake Providence, LLC

  dba Cypress at Lake Providence

  • Skilled Nursing Facility
  • Lake Providence, LA
  • NPI 1346223765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1013433937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE PKWY STE 400",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361693",
            "telephone_number": "234-269-6200",
            "fax_number": "234-602-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE PKWY STE 400",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361693",
            "telephone_number": "234-269-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Summa Family Medicine Center",
            "address_2": "55 Arch St Suite 3A",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44304",
            "country_code": "US",
            "telephone_number": "330-375-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASCO",
        "first_name": "TESSA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "WILSON",
            "middle_name": "CLAIRE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany L Barger, CNP
• Megan E Barker, ST
• Shannon Barnes, PA-C
• Kathryn Leigh Barnhouse, RPH
• Sierra Bartoletta
• Candace Beam, PMHNP
• Kristen Michelle Beason
• Kayla Bechtel, RD
• Christopher Scott Began, CNP
• Behavioral Health Enrichment, LLC

• Clinical Social Worker in Hudson, OH
• Providers in Hudson, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.