Patricia Jeanne Basmajian, LCSW-R
Individual provider Active NPI Clinical Social Worker · Vestal, NY
NPI 1780151456 · NPPES record last updated Oct 31, 2018
Key facts
- NPI
- 1780151456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R0441036-1 (NY)
- Practice address
- 4102 Vestal Rd
Vestal, NY 13850-3531 - Phone
- (607) 772-1598
- Fax
- (607) 584-7679
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| R0441036-1 | NY | MD | Clinical Social Worker |
| 041036 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0441036-1 | NY | Yes |
Addresses
Primary practice location
4102 Vestal Rd
Vestal, NY 13850-3531
Mailing address
4102 Vestal Rd
Vestal, NY 13850-3531
Phone (607) 772-1598
Other providers in Vestal, NY
- Colleen Elizabeth Barthe
- Michael Barton
- Victoria Barton
- Emily Barvinchak
- Gillian Basedow
- Emily Catherine Bastiaanse
- Anna-Marie W Batz
- Stephanie Bauman
- Gregory Baxter
- Douglas G Beattie
All providers in Vestal, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2018. 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.