MARYANN BASISTA LCSW NPI 1902914476

NPI Information

  • NPI: 1902914476
  • Provider Name: MARYANN BASISTA, LCSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1315 BUTTERFIELD RD
    SUITE 220
    DOWNERS GROVE, IL
    ZIP 60515
  • Phone: (630) 788-8040

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NPI Details

Maryann Basista, LCSW is a social worker in Downers Grove, IL with 33 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Maryann Basista, LCSW NPI is 1902914476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1315 BUTTERFIELD RD
SUITE 220
DOWNERS GROVE, IL
ZIP 60515-602
Phone: (630) 788-8040
Fax: (630) 424-0425

The NPI 1902914476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/26/2006 and was last updated on 6/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker149 006503ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1183695OTHERTEXASVALUE OPTIONS
2813202000OTHERMARYLANDMAGELLAN
32167954OTHERILLINOISCOMPSYCH
411713175OTHERILLINOISCAQH
59426416OTHERILLINOISPHCS
6506974809OTHERTEXASUBH
72567375OTHERMINNESOTACIGNA
82221790OTHERILLINOISBCBS
97851779OTHERCONNECTICUTAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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