Provider Demographics
NPI:1760016430
Name:MICHELE BASHKIN, LCSW, P.C.
Entity Type:Organization
Organization Name:MICHELE BASHKIN, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-515-0696
Mailing Address - Street 1:520 FRANKLIN AVENUE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5892
Mailing Address - Country:US
Mailing Address - Phone:516-515-0696
Mailing Address - Fax:
Practice Address - Street 1:520 FRANKLIN AVENUE
Practice Address - Street 2:SUITE L-1
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5892
Practice Address - Country:US
Practice Address - Phone:516-515-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty