Tessa Claire Basco, LISW
Individual provider Active NPI Clinical Social Worker · Hudson, OH
NPI 1013433937 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1013433937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.1700513 (OH)
- Practice address
- 115 Executive Pkwy Ste 400
Hudson, OH 44236-1693 - Phone
- (234) 269-6200
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181024001129 | OH | Practitioner - Clinical Social Worker | 5496008260 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1700513 | OH | MD | Clinical Social Worker |
Practice roles (3 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones-Wood Psychological Associates, Inc. | Current |
Accepting new patients | |
| Coleman Professional Services, Inc. | Clinical | Current |
Accepting new patients |
| Cypress at Lake Providence, LLC | Past |
Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
9826 Washington St
Chagrin Falls, OH 44023
Phone (440) 708-0188
115 Executive Pkwy
Ste 400
Hudson, OH 44236
Phone (234) 269-6200
591 Boston Mills Rd
Ste 550
Hudson, OH 44236
Phone (234) 269-6200
5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875
Networks
- KY PPO C-SNP
- KY PPO
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1700513 | OH | Yes |
Addresses
Primary practice location
115 Executive Pkwy Ste 400
Hudson, OH 44236-1693
Mailing address
115 Executive Pkwy Ste 400
Hudson, OH 44236-1693
Phone (234) 269-6200
Other practice location 1
Summa Family Medicine Center
55 Arch St Suite 3A
Akron, OH 44304
Phone (330) 375-3584
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0247305 | Medicaid | OH |
Other names
- Ms. Tessa Claire Wilson
Other providers in Hudson, OH
- Brittany L Barger
- Megan E Barker
- Shannon Barnes
- Kathryn Leigh Barnhouse
- Sierra Bartoletta
- Candace Beam
- Kristen Michelle Beason
- Kayla Bechtel
- Christopher Scott Began
- Behavioral Health Enrichment, LLC
All providers in Hudson, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.