MRS. TESSA CLAIRE BASCO (LISW) – Clinical Social Worker, NPI 1013433937
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. TESSA CLAIRE BASCO (LISW)
Summa Family Medicine Center
55 Arch St Suite 3A
Akron, OH 44304
Phone: (330) 375-3584
Type: Location
115 Executive Pkwy Ste 400
Hudson, OH 442361693
Phone: (234) 269-6200
Type: Location
West 25th Street, Lakeview Terrace, Ohio City, Cleveland, Cuyahoga County, Ohio, 44109, United States
MPB C/O TESSA WILSON
CLEVELAND, OH 44109
Phone:
Type: Mailing
115 EXECUTIVE PKWY STE 400
HUDSON, OH 442361693
Phone: (234) 269-6200
Fax: (234) 602-2192
Type: Mailing
PO BOX 426
LAKE PROVIDENCE, LA 712540426
Phone: (318) 559-2248
Fax: (318) 559-3381
Type: Mailing
SUMMA FAMILY MEDICINE CENTER
55 ARCH ST SUITE 3A
AKRON, OH 44304
Phone: (330) 375-3584
Type: Location
591 BOSTON MILLS RD STE 550
HUDSON, OH 442361160
Phone: (234) 269-6200
Fax: (234) 602-2192
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181024001129 | I | Clinical Social Worker | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44304)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| Family Practice | PA | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| General Surgery | IL | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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