Individual provider Active NPI

Jaime Lee Basile, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1043712573
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05769000 Issued in NJ
Practice address
1691 Route 9
Toms River, NJ 08755-1245
Phone
(732) 914-3848
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05769000 NJ Primary

Addresses

Primary practice location

1691 Route 9
Toms River, NJ 08755-1245

Mailing address

1691 Route 9
Toms River, NJ 08755-1245
Phone (732) 914-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910000419 NJ Practitioner - Clinical Social Worker 3678991544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CCC Counseling IncGroup PAC ID 3870999493, 9 clinicians

Practice addresses (Care Compare)

1924 State Route 35
Suite 10a
Wall Township, NJ 07719-3555
Phone (732) 814-4648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05769000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CCC Counseling Inc Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

6 Shore Rd
Linwood, NJ 08221
Phone (609) 926-8900

1401 New Rd
Fl 2
Linwood, NJ 08221
Phone (609) 225-9355

1924 State Route 35
Ste 10A
Wall Township, NJ 07719
Phone (732) 481-4743

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1043712573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 ROUTE 9",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551245",
            "telephone_number": "732-914-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 ROUTE 9",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551245",
            "telephone_number": "732-914-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "JAIME",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05769000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.