Dana Sasse, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008513 Issued in VA

Practice address

Ingleside of Rock Creek
3050 Military Rd. NW
Washington, DC 22314-2231

Phone

(860) 463-3716

NPI assigned

Dec 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1932615531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S LEE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INGLESIDE OF ROCK CREEK",
            "address_2": "3050 MILITARY RD. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "223142231",
            "telephone_number": "860-463-3716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12185 Clipper Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Ridge",
            "state": "VA",
            "postal_code": "221922236",
            "country_code": "US",
            "telephone_number": "703-496-3486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSE",
        "first_name": "DANA",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2021-08-31",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP001484",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Bruce Youthwork, Inc.
• Sasha Wellness
• Sanskrita Sashikanth
• Tracee M Saslowsky, NP
• Nancy Marie Sassa, NP
• Yeshimebet Sasse
• Rachel Sassoon, PSYD
• Vibha Sastri, MD
• Sirisha Manikonda Sastry, MD
• Charles Thomas Satchell, M.T.

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.