DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA BASEDOW

Active Sole Proprietor

MARISSA BASEDOW is a Social Worker healthcare provider located in DIX HILLS, New York. NPI 1215407895 is currently active in the NPPES registry. Verify at CMS.

Social Worker · DIX HILLS, NY

Registration Details

NPI Number
1215407895
Provider Type
Individual
Gender
Female
NPI Issued
Nov 27, 2018 (7.7134179387245 yrs)
Last Updated
Nov 27, 2018
License
101965 (NY)
Sole Proprietor
Yes

Practice Information

Address
151 BURRS LANE
DIX HILLS, NY, 11746
Browse NY providers · Browse ZIP 11746
Phone
6316438800
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in DIX HILLS, NY

Name Credential NPI
MS. RENEE BLOCK LCSW 1730254301
MRS. TRACIE MICHELLE THEOTOKAS LCSW 1477621704
MRS. STEPHANIE CAROLINE HAYES LMSW 1720298730
ALEXANDRA RATTIEN LCSW 1689833220
MS. LISA RIBAUDO LMSW 1588807051
ASHLEY M FIELDS 1407174550
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.