Philip Glen Bascom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4245 Issued in ME

Practice address

655 7TH St BLDG 700
Robins AFB, GA 31098-2227

Phone

(850) 461-2083

NPI assigned

Sep 7, 2005

Last updated

Sep 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1831183623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "850-461-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "850-461-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCOM",
        "first_name": "PHILIP",
        "middle_name": "GLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 78TH Medgrp-Robins (DoD ROBINS ePhcy)
• Tansel Acar, DDS
• Isaac Benjamin Akins, DNP, PMHNP
• Regina Nju Awung, PHYSICIAN ASSSISTANT
• Asia Alishanee Bailey
• Monique Battle-Stallworth
• Megan Beckman, RD, LD
• Lauren Rood Belus, FNP-BC
• Jeremy Berger, D.O.
• Diane C Betz, DENTAL HYGIENIST

• Clinical Social Worker in Robins AFB, GA
• Providers in Robins AFB, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.