Individual provider Active NPI

Michelle Gage Bascetta, MSW, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1770896995
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080491 Issued in NY
Practice address
280 Madison Ave RM 305E
New York, NY 10016-0816
Phone
(929) 320-0716
Fax
(929) 298-7404
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 008992 CT
Clinical Social Worker 1041C0700X 080491 NY Primary

Addresses

Primary practice location

280 Madison Ave RM 305E
New York, NY 10016-0816

Mailing address

280 Madison Ave RM 305E
New York, NY 10016-0816
Phone (929) 320-0716

Other practice location 1

215 Broad St Fl 2
Milford, CT 06460-4760
Phone (929) 320-0716

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL NY

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
008992CTMDClinical Social Worker
8992CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical and Support Options Past Accepting new patients

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1770896995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 305E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "929-320-0716",
            "fax_number": "929-298-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 305E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "929-320-0716",
            "fax_number": "929-298-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Broad St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064604760",
            "country_code": "US",
            "telephone_number": "929-320-0716",
            "fax_number": "929-298-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASCETTA",
        "first_name": "MICHELLE",
        "middle_name": "GAGE",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008992",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NY",
            "affiliation": "N",
            "address_1": "280 Madison Ave Rm 305E",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100160816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.