Individual provider Active NPI

Debbie W Tasso, LCSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1760012025
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20188 Issued in FL
Practice address
1600 W Eau Gallie Blvd Ste 201R
Melbourne, FL 32935-4149
Phone
(321) 345-9225
NPI assigned
Jan 24, 2020
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW20188 FL
Social Worker 104100000X SW20188 FL
Clinical Social Worker 1041C0700X SW20188 FL Primary

Addresses

Primary practice location

1600 W Eau Gallie Blvd Ste 201R
Melbourne, FL 32935-4149

Mailing address

1600 W Eau Gallie Blvd Ste 201R
Melbourne, FL 32935-4149
Phone (321) 345-9225

Other practice location 1

1600 W Eau Gallie Blvd Ste 201U
Melbourne, FL 32935-4149
Phone (321) 356-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapyappointment.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20231215001580 FL Practitioner - Clinical Social Worker 9133578180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 W Eau Gallie Blvd
Suite 201R
Melbourne, FL 32935-4149
Phone (321) 345-9225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20188FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Counseling Solutions LLC Clinical CurrentSince Nov 15, 2023 Accepting new patients

Locations

1600 W Eau Gallie Blvd
Ste 201R
Melbourne, FL 32935
Phone (321) 345-9225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1760012025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD STE 201R",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "321-345-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD STE 201R",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "321-345-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Eau Gallie Blvd Ste 201U",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354149",
            "country_code": "US",
            "telephone_number": "321-356-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASSO",
        "first_name": "DEBBIE",
        "middle_name": "W",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW20188",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW20188",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapyappointment.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "supervision",
            "address_1": "1600 W Eau Gallie Blvd Ste 201U",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329354149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.