Kimberly Ann Bass

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

600 Abbott Dr
Broomall, PA 19008-4317

Phone

(888) 227-3898

Fax

(484) 471-5151

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mirmont Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Lima, PA
  • NPI 1386713642

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1194205138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AVONDALE LN",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ABBOTT DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084317",
            "telephone_number": "888-227-3898",
            "fax_number": "484-471-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412843",
            "country_code": "US",
            "telephone_number": "888-227-3898",
            "fax_number": "484-565-8214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "SW132140",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bancroft Neurohealth
• Bancroft Neurohealth
• Siani Barnes
• Bruce Barris, M.D.
• Rose Naika Barthelemy
• Bethann Batewell
• Bayada Home Health Care, Inc.
• Jenna Beachley, BHT
• Tamara Crowe Bean, MSPT
• Ashley Nicole Begley

• Social Worker in Broomall, PA
• Providers in Broomall, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.