Provider Demographics
NPI:1386166320
Name:JEAN-BASKIN, STEFFIE MICHELLE (MSW)
Entity type:Individual
Prefix:
First Name:STEFFIE
Middle Name:MICHELLE
Last Name:JEAN-BASKIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 NE BRAILLE PL
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-5345
Mailing Address - Country:US
Mailing Address - Phone:772-320-0770
Mailing Address - Fax:772-320-0181
Practice Address - Street 1:1601 NE BRAILLE PL
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-5345
Practice Address - Country:US
Practice Address - Phone:772-320-0770
Practice Address - Fax:772-320-0181
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical