Brigitte Basis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R038038-1 Issued in NY

Practice address

521 Beach 20 Street
Far Rockaway, NY 11691

Phone

(718) 869-8822

Fax

(718) 474-2165

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joseph P. Addabbo Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ozone Park, NY
  • NPI 1134476443
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104045640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 71ST AVE APT 6L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672118",
            "telephone_number": "718-474-2478",
            "fax_number": "718-474-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEACH 20 STREET",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-869-8822",
            "fax_number": "718-474-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIS",
        "first_name": "BRIGITTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038038-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Baron
• Vanessa Guadalupe Barrientos
• Barry Scott Raines
• Griselda Bartha, MD
• Odessa Bascom, LMSW
• Yves Luc Basse, M.D.
• Oluwafunmilayo Oluwadamilola Bassey, L.P.N.
• Jackie J Battista, DO
• Ginette A Baum, MA CCCSLP
• Tamar Bauman

• All providers in Far Rockaway, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.