Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SURRAINE BASCOME, LCSW
ActiveSURRAINE BASCOME, LCSW is a Clinical Social Worker healthcare provider located in JERSEY CITY, New Jersey. NPI 1568042679 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · JERSEY CITY, NJ
Registration Details
- NPI Number
- 1568042679
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2021 (5.2984834435656 yrs)
- Last Updated
- Feb 19, 2026
- Licenses
-
097152 (NY)110011 (NY)
Practice Information
- Address
-
111 TOWN SQUARE PL # 242432JERSEY CITY, NJ, 073101755Browse NJ providers · Browse ZIP 07310
- Phone
- 9293522098
- Fax
- 9292052621
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
Other Clinical Social Worker Providers in JERSEY CITY, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. TRACIE MEYERS | MSW | 1316971914 |
| DR. EILEEN A. EPSTEIN | PH.D., LCSW | 1447364575 |
| DR. JAMES JOSEPH MC CREATH | MSW | 1457432965 |
| MRS. ANA M MESEGUER | LCSW | 1114097185 |
| MR. PETER HERBST | MSW, LCSW | 1952465593 |
| MS. JESSICA DISLA | LCSW | 1295891927 |
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.