SURRAINE BASCOME, LCSW

Social Worker - Clinical

Active Individual
NPI: 1568042679

Practice Address

111 TOWN SQUARE PL # 242432
Jersey City, NJ 07310

Phone: (646) 849-9591

Specialties

Specialty Code Primary License
Social Worker 104100000X No 110011 (NY)
Social Worker - Clinical 1041C0700X Yes 097152 (NY)

Frequently Asked Questions

NPI 1568042679 is the National Provider Identifier for SURRAINE BASCOME, LCSW, a Social Worker - Clinical provider located in Jersey City, NJ. This NPI was enumerated on April 12, 2021.
SURRAINE BASCOME, LCSW practices at 111 TOWN SQUARE PL # 242432, Jersey City, NJ 07310.

Quick Facts

NPI
1568042679
Type
Individual
Enumerated
Apr 12, 2021
Last Updated
Aug 13, 2025

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