Active NPI
Basya M Pessin, LCSW
- Clinical Social Worker
- Pomona, NY
National Provider Identifier
1134435357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083062
- Practice address
- 11 Old Route 202
Pomona, NY 10970-2852 - Phone
- (347) 762-2792
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 083062 | NY | Primary |
Addresses
Primary practice location
11 Old Route 202
Pomona, NY 10970-2852
Mailing address
11 Old Route 202
Pomona, NY 10970-2852
Phone (347) 762-2792
Other names 1
- Basya M Kenner
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083062 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinchus Brecher LCSW PLLC | Social Worker | Current | Accepting new patients |
Locations
295 W Route 59
Spring Valley, NY 10977
Phone (845) 362-1247
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.
-
- Clinical Social Worker
- Spring Valley, NY
- NPI 1710545645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1134435357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 OLD ROUTE 202",
"city": "POMONA",
"state": "NY",
"postal_code": "109702852",
"telephone_number": "347-762-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 OLD ROUTE 202",
"city": "POMONA",
"state": "NY",
"postal_code": "109702852",
"telephone_number": "347-762-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESSIN",
"first_name": "BASYA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083062",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "11 Old Route 202",
"city": "Pomona",
"state": "NY",
"country_code": "US",
"postal_code": "109702852",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BASYA",
"last_name": "KENNER",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.