| Brent A. Basile, Msw, Llc | |
|
20800 Center Ridge Rd Suite 324 Rocky River OH 44116-4312 | |
| (216) 374-8382 | |
| Not Available |
| Full Name | Brent A. Basile, Msw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20800 Center Ridge Rd, Rocky River, Ohio |
| Authorized Official Name and Position | Brent Antony Basile (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2163748382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent A. Basile, Msw, Llc 20613 Beaconsfield Blvd Rocky River OH 44116-1307 Ph: () - | Brent A. Basile, Msw, Llc 20800 Center Ridge Rd Suite 324 Rocky River OH 44116-4312 Ph: (216) 374-8382 |
| NPI Number | 1619158110 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619158110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.0700026 (Ohio) | Primary |
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