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SURRAINE BASCOME LCSW
NPI 1568042679
Social Worker - Clinical in Jersey City, NJ

Active since April 12, 2021
111 TOWN SQUARE PL # 242432, JERSEY CITY, NJ 07310(929) 352-2098(929) 205-2621 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2025, Mar 12, 2025, Apr 12, 2021 (3 updates tracked since 2021).

About Surraine Bascome Lcsw NPPES

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

SURRAINE BASCOME LCSW (NPI 1568042679) is an individual clinical provider in Jersey City, New Jersey, licensed in New York (097152) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1568042679
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSURRAINE BASCOMECredential: LCSW
Location Address111 TOWN SQUARE PL # 242432Jersey City, NJ 07310-1755
Mailing Address111 Town Square Pl # 242432Jersey City, NJ 07310-1755 · (929) 352-2098
Phone(929) 352-2098
Fax(929) 205-2621
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1568042679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 097152
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 110011 (NY)
111 TOWN SQUARE PL # 242432, Jersey City, NJ 07310
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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 Surraine Bascome's NPI number?

The NPI number for Surraine Bascome is 1568042679. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Surraine Bascome located?

Surraine Bascome practices at 111 Town Square Pl # 242432, Jersey City, NJ 07310. The listed phone number is (929) 352-2098.

What is Surraine Bascome'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 Surraine Bascome was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.