Doctor Name: | MS. JUDITH BASILE |
NPI Number: | 1073541595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | RO25817-1 |
Business Practice Address: | 198 Garth Rd Scarsdale, NY - 105833869 |
Business Phone Number: | 9173194277 |
Business Fax Number: | 9147257350 |
Mailing Address: | 198 Garth Rd, SCARSDALE |
State: | NY |
Postal Code: | 105833869 |
Phone Number: | 9173194277 |
Fax Number: | 9147257350 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | RO25817-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |