Individual provider · Type 1 NPI

Spencer Bastedo, LMSW

Clinical Social Worker · Jackson Heights, NY

NPI number 1487452520 Active

Practice location

3704 91st St Ste E
Jackson Heights, NY 11372-7909

Mailing address

8310 35th Ave Apt 6I
Jackson Heights, NY 11372-5315

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X125205-01 (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 1487452520

Spencer Bastedo, LMSW's National Provider Identifier is 1487452520, issued on Mar 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson Heights, NY. The record was last updated on Aug 22, 2025.