Surraine Bascome, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097152 Issued in NY

Practice address

111 Town Square PL # 242432
Jersey City, NJ 07310-1755

Phone

(929) 352-2098

Fax

(929) 205-2621

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: surraine.bascome.1@22378.direct.athenahealth.com

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.

• Alchemical Kinnections Integrative Therapy

  • Clinical Social Worker
  • Harrison, NJ
  • NPI 1114726916
  NPD Authorized official
• Down to Earth Therapy LLC

  • Clinical Social Worker
  • Harrison, NJ
  • NPI 1861345704
  NPD Authorized official

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1568042679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL # 242432",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101755",
            "telephone_number": "929-352-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL # 242432",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101755",
            "telephone_number": "929-352-2098",
            "fax_number": "929-205-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCOME",
        "first_name": "SURRAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097152",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Barry, DPT
• Marem Barsy
• Mitchell A Baruchin, M.D.
• Amanda Leigh Barysh, PA-C
• Jessica Barzola
• Wahid W Baskaly
• Steven Eric Baskin, D.D.S.
• Nancy A Bassaly, R.PH.
• Bassam M Haddad, MD, PA
• Marina Bastawross, DO

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, 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 Feb 19, 2026; 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.