Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surraine Bascome, LCSW

Individual provider Clinical Social Worker · NPI 1568042679

Surraine Bascome, LCSW is a Clinical Social Worker in Jersey City, New Jersey. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

111 Town Square Pl # 242432
Jersey City, NJ 07310-1755
Phone: (929) 352-2098
Fax: (929) 205-2621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 097152 (NY)
Social Worker Taxonomy 104100000X · Licence 110011 (NY)

Record details

NPI number1568042679
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address111 Town Square Pl # 242432, Jersey City, NJ 07310-1755

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