Provider Demographics
NPI:1699915363
Name:BASSI, CHRISTINE (LCSW, CADC II)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:BASSI
Suffix:
Gender:F
Credentials:LCSW, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 KING ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3512
Mailing Address - Country:US
Mailing Address - Phone:831-227-8211
Mailing Address - Fax:
Practice Address - Street 1:225 MOUNT HERMON RD SPC 197
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4017
Practice Address - Country:US
Practice Address - Phone:831-227-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA044570517101YA0400X
CA1189261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)