Individual provider Active NPI

Emily Marie Bass, MSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1194254631
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8434-C Issued in AR
Practice address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone
(501) 686-8000
NPI assigned
Jun 8, 2017
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8434-C AR Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

4301 W Markham St # 783
Little Rock, AR 72205-7101

Mailing address

4701 Fairway Ave Ste B
North Little Rock, AR 72116-8069

Other practice location 1

4701 Fairway Ave Ste B
North Little Rock, AR 72116-8069
Phone (501) 771-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210224000247 AR Practitioner - Clinical Social Worker 6709291818 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8434-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 2, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 2, 2020 Accepting new patients
Chenal Family Therapy, PLC CurrentSince Sep 25, 2023 Accepting new patients
Transitions Counseling Clinic PLC Clinical PastSince Apr 9, 2023 Accepting new patients

Locations

304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4701 Fairway Ave
Ste B
North Little Rock, AR 72116
Phone (501) 771-8261

2504 McCain Blvd
Ste 200
North Little Rock, AR 72116
Phone (501) 753-9781

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1194254631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FAIRWAY AVE STE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Fairway Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721168069",
            "country_code": "US",
            "telephone_number": "501-771-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8434-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.