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Mr. Basheer Ahmad Shabazz, LCSW
Clinical Social Worker in Elizabeth, New Jersey
NPI 1235439860

Basheer Ahmad Shabazz is a Clinical Social Worker based in Linden, NJ and is specialized in Clinical. Basheer Ahmad Shabazz practices in Elizabeth, NJ and has the professional credentials of LCSW. The NPI Number for Basheer Ahmad Shabazz is 1235439860 and holds a License No. 792613 (New Jersey).

The current practice location address for Basheer Ahmad Shabazz is 654 E Jersey St, Elizabeth, NJ and can be reached out via phone at 908-296-0724. You can also correspond with Basheer Ahmad Shabazz through the mailing address at PO BOX 1901, LINDEN, NJ - 07036-0009 (mailing address contact number: 908-296-0724).

Location: 654 E Jersey St, Elizabeth, NJ, 07036-0009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235439860
Provider Name
Basheer Ahmad Shabazz
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
654 E Jersey St, Elizabeth, NJ, 07036-0009
Phone Number
908-296-0724
Fax Number
Provider Enumeration Date
10/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0404845 05 NJ
institution
Provider Business Practice Location Address Details
Address
654 E Jersey St
City
Elizabeth
State
New Jersey
Zip
07206-1261
Phone Number
908-296-0724
Fax Number
person
Provider Business Mailing Address Details
Address
654 E Jersey St
City
Elizabeth
State
New Jersey
Zip
07206-1261
Phone Number
908-296-0724
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
44SC05540800 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
792613 (New Jersey)
Definition
Definition to come...
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