Alchemical Kinnections Integrative Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALCHEMICAL KINNECTIONS INTEGRATIVE THERAPY

Practice address

109 Frank E Rodgers Blvd S
Harrison, NJ 07029-2085

Phone

(929) 352-2098

NPI assigned

Mar 12, 2025

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Surraine Bascome, LCSWNPI 1568042679

Title

Founder / Ceo

Phone

(929) 352-2098

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Surraine Bascome, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
  • NPI 1568042679
  NPD Authorized official

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1114726916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 1238",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101810",
            "telephone_number": "929-352-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FRANK E RODGERS BLVD S",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292085",
            "telephone_number": "929-352-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMICAL KINNECTIONS INTEGRATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "BASCOME",
        "authorized_official_first_name": "SURRAINE",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "929-352-2098",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasir Abdellatif
• Sunita Abkari, PHARMD
• Advanced Dental Group NJ LLC (nj dental group)
• Advanced Rehabilitation of Harrison, LLC (Advanced Rehabilitation of Harrison)
• Minal D Aguilar, M.D.
• Nouf Aldahmani
• Saif Ali
• Arcos Community Care LLC
• Jesus V Arteaga
• Khalid M Bader, PHARM.D

• Clinical Social Worker in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.