Individual provider · Type 1 NPI
Surraine Bascome, LCSW
Clinical Social Worker · Jersey City, NJ
Practice location
111 Town Square Pl # 242432
Jersey City, NJ 07310-1755
Fax (929) 205-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 097152 (NY) |
| Social Worker | 104100000X | 110011 (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 1568042679
Surraine Bascome, LCSW's National Provider Identifier is 1568042679, issued on Apr 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jersey City, NJ. The record was last updated on Feb 19, 2026.