Search › New Jersey › 1041C0700X
Surraine Bascome, LCSW
NPI 1568042679 · on the registry since 2021
Practice
- Address
- 111 Town Square Pl # 242432
Jersey City, NJ 07310 - Phone
- (929) 352-2098
- Fax
- (929) 205-2621
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey