MEDICARE: DEBBI KASSIN LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5739	NH
2	1041C0700X	Clinical Social Worker	C004926	NC

General Provider Information

NPI Number	:	1790844991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBI KASSIN LICSW

Provider Business Mailing Address
First Line	:	18B CHANDLER CT
Second Line	:
City	:	HUDSON
State	:	NH
Zip	:	03051-6901
Country	:	US
Telephone Number	:	919-270-6672
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 COMMERCE DR STE 305
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6946
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:	603-883-0007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	01/28/2026

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Directions to “ DEBBI KASSIN LICSW” Practice Location

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