Healthcare Provider Details

I. General information

NPI: 1831004720
Provider Name (Legal Business Name): STEFANIE JANE BASSIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 WISCONSIN AVE STE 410
BETHESDA MD
20814-4810
US

IV. Provider business mailing address

7201 WISCONSIN AVE STE 410
BETHESDA MD
20814-4810
US

V. Phone/Fax

Practice location:
  • Phone: 703-424-9166
  • Fax:
Mailing address:
  • Phone: 703-424-9166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34965
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: