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LEE BASCOM LLC
NPI 1295170363
Social Worker - Clinical in Saint Louis, MO

Active since May 02, 2013
1121 OLIVETTE EXECUTIVE PKWY, SUITE 205, SAINT LOUIS, MO 63132(314) 229-3483 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lee Bascom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE BASCOM LLC (NPI 1295170363) is a healthcare organization registered as a clinical in Saint Louis, Missouri and active in the NPI registry since May 2013. The organization lists Lee Bascom, Owner/ Lcsw, as its authorized official.

NPPES Registry Identity

NPI1295170363
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLEE BASCOM LLC
Location Address1121 OLIVETTE EXECUTIVE PKWY, SUITE 205Saint Louis, MO 63132-3254
Mailing Address841 N Kirkwood RdSaint Louis, MO 63122-2639 · (314) 229-3483
Phone(314) 229-3483
Organization SubpartNo
Authorized OfficialLee BascomOwner/ Lcsw · (314) 229-3483
Enumeration DateMay 2, 2013
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1295170363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 2004031739
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1121 OLIVETTE EXECUTIVE PKWY, Saint Louis, MO 63132
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Other Identifiers 1

Medicaid500073730MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Bascom LLC's NPI number?

The NPI number for Lee Bascom LLC is 1295170363. It was assigned to this organization in the NPPES registry on May 2, 2013.

Where is Lee Bascom LLC located?

Lee Bascom LLC is located at 1121 Olivette Executive Pkwy Suite 205, Saint Louis, MO 63132. The listed phone number is (314) 229-3483.

What is Lee Bascom LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lee Bascom LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.