Individual provider Active NPI

Basya M Pessin, LCSW

  • Clinical Social Worker
  • Pomona, NY
National Provider Identifier
1134435357
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083062 Issued in NY
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

Updated by the provider on Jul 28, 2021

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
083062NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinchus Brecher LCSW PLLC Social Worker CurrentSince Jul 22, 2019 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.

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.

Verify at the official NPI Registry.