JACQUELINE MARIE BASILE (NPI# 1831646439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831646439 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE BASILE |
| Credential | LCSW |
| Practice Address |
4200 Monument Rd Philadelphia PA 19131-1625 |
| Practice Telephone | 2155813748 |
| Practice Fax Number | 2155813781 |
| Mailing Telephone | 2155813748 |
| Mailing Fax Number | 2155813781 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016836 | PA | Behavioral Health & Social Service Providers |
| Street Address |
4200 MONUMENT RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043541 | Sarah Hanson | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1689 | 2020-08-11 |
| 1639706898 | Jordyn Staar | Art Therapist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2020-03-26 |
| 1558994467 | Samantha Suyon Woo | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2020-02-19 |
| 1679114961 | Colleen Andrews | Counselor | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-10-08 |
| 1811541279 | Lafayette Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-07-24 |
| 1083271621 | Wanda Maria Sztandera | Counselor | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-20 |
| 1801453477 | Bryan Gastelle | Student in an Organized Health Care Education/Training Program | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-20 |
| 1164088910 | Johanna Mae Dwinells | Music Therapist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-17 |
| 1417423948 | Laura E Tyndall | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2018-10-23 |
| 1114403664 | Courtney Anne Murphy | Psychologist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1679170575 | Wendy Diane Nickerson | Social Worker | 741 S 2nd St, Philadelphia, PA 19147-3425 | 2020-10-04 |
| 1497362404 | Lora M Rhodes | Social Worker | 925 Chestnut St Ste 321a, Philadelphia, PA 19107-4216 | 2020-09-24 |
| 1841806395 | Molly Vocino | Social Worker | 925 Chestnut St Ste 422u, Philadelphia, PA 19107-4216 | 2020-09-21 |
| 1306452065 | Rebecca Cammy | Social Worker | 925 Chestnut St # 422w, Philadelphia, PA 19107-4216 | 2020-09-18 |
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1265045272 | Lisa Gabrielle Schilansky | Social Worker | 4813 Springfield Ave Apt 1, Philadelphia, PA 19143-3409 | 2020-08-28 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.