Individual provider · Type 1 NPI

Brigitte Basis, LCSW

Clinical Social Worker · Far Rockaway, NY

NPI number 1104045640 Active

Practice location

521 Beach 20 Street
Far Rockaway, NY 11691

Fax (718) 474-2165

Mailing address

15020 71st Ave Apt 6L
Flushing, NY 11367-2118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR038038-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104045640

Brigitte Basis, LCSW's National Provider Identifier is 1104045640, issued on Apr 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Far Rockaway, NY. The record was last updated on Jul 8, 2007.