Individual provider Active NPI

Gail S Bass, MSW. LICSW

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1184770042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113167 Issued in MA
Practice address
53 Eagle St
Pittsfield, MA 01201-4714
Phone
(413) 236-5656
Fax
(413) 499-6572
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113167 MA Primary

Addresses

Primary practice location

53 Eagle St
Pittsfield, MA 01201-4714

Mailing address

PO Box 187
Housatonic, MA 01236-0187
Phone (413) 274-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000067 MA Practitioner - Clinical Social Worker 1759308109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

877 S St
Suite 200
Pittsfield, MA 01201-8243
Phone (413) 236-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113167MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince Jun 1, 2009 Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children Past Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children PastSince Jan 1, 2008 Accepting new patients
Mspcc Mass Society of Prevention of Crualty to Children Past Accepting new patients
Clinical and Support Options PastSince Jun 1, 2009 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

877 South St
Ste 200
Pittsfield, MA 01201
Phone (413) 269-5656

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184770042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "HOUSATONIC",
            "state": "MA",
            "postal_code": "012360187",
            "telephone_number": "413-274-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 EAGLE ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014714",
            "telephone_number": "413-236-5656",
            "fax_number": "413-499-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "GAIL",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW. LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.