Jennifer Basurto, LCSW
Individual provider Active NPI Clinical Social Worker · Albany, CA
NPI 1467579953 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1467579953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS18317 (CA)
- Practice address
- 1017 Talbot Ave
Albany, CA 94706-2331 - Phone
- (510) 517-3100
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS18317 | CA | MD | Clinical Social Worker |
| 18317 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Basurto, MSW, LCSW | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS18317 | CA | Yes |
Addresses
Primary practice location
1017 Talbot Ave
Albany, CA 94706-2331
Mailing address
747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3885
Other providers in Albany, CA
- Raphael A Barker
- Melany Barr-Patz
- Steven Barrie-Anthony
- Louise Barrie
- Francesca Bartalini
- Sireesha Battula
- Bay Area Foot Care, Inc
- Bay Area Foot Care, Inc
- Beacon Home Care
- Behaviorway, Inc.
All providers in Albany, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.