Deborah Ann Basilio, LCSW
Individual provider Active NPI Clinical Social Worker · Hawthorne, NJ
NPI 1760722979 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1760722979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05415600 (NJ)
- Practice address
- 17 Fairview Ave
Hawthorne, NJ 07506-3013 - Phone
- (973) 427-5477
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05415600 | NJ | Yes |
Addresses
Primary practice location
17 Fairview Ave
Hawthorne, NJ 07506-3013
Mailing address
17 Fairview Ave
Hawthorne, NJ 07506-3013
Phone (973) 427-5477
Other providers in Hawthorne, NJ
- Aris RX Inc
- Lisa Ann Avent
- Axis Mundi Physical Therapy and Wellness P.C.
- James Anthony Ballantine
- Nadia Barouk
- Jennifer Basilone
- Christopher Anthony Bauer
- Julie Becker
- Lauren E Bender
- Peter J Berger
All providers in Hawthorne, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. 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.