Miss MICHELLE GAGE BASCETTA MSW, LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1770896995- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW, LCSW
- Status
- Active
Contact & Location
- Address
- 280 MADISON AVE RM 305E, NEW YORK, NY, 100160816
- Phone
- (929) 320-0716
- Fax
- (929) 298-7404
Specialties & Taxonomies
Social Worker, Clinical
License: CT #008992
Social Worker, Clinical
Primary License: NY #080491