Individual provider Active NPI

Daffney Jossette Tchassem, LCSW

  • Clinical Social Worker
  • Mansfield, TX
National Provider Identifier
1356038574
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55055 Issued in TX
Practice address
1714 Cedar Bluff Pkwy
Mansfield, TX 76063-4273
Phone
(601) 597-0837
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 55055 TX Primary

Addresses

Primary practice location

1714 Cedar Bluff Pkwy
Mansfield, TX 76063-4273

Mailing address

1714 Cedar Bluff Pkwy
Mansfield, TX 76063-4273
Phone (601) 597-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Lights Concierge Behavioral Health Services LLC Current Accepting new patients
Institute for Health Evaluation and Research Unlimited LLC CurrentSince Nov 13, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1356038574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 CEDAR BLUFF PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634273",
            "telephone_number": "601-597-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 CEDAR BLUFF PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634273",
            "telephone_number": "601-597-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHASSEM",
        "first_name": "DAFFNEY",
        "middle_name": "JOSSETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.