Active NPI
Michelle Bass, LMSW
- Social Worker
- Niagara Falls, NY
National Provider Identifier
1366201493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0122773
- Practice address
- 620 Tronolone PL
Niagara Falls, NY 14301-1910 - Phone
- (716) 205-0825
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1962596718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0122773 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Buffalo | Current | Accepting new patients |
Locations
620 Tronolone Pl
Niagara Falls, NY 14301
Phone (716) 205-0825
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0122773 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
620 Tronolone PL
Niagara Falls, NY 14301-1910
Mailing address
620 Tronolone PL
Niagara Falls, NY 14301-1910
Phone (716) 205-0825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2024.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1366201493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 TRONOLONE PL",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011910",
"telephone_number": "716-205-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 TRONOLONE PL",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011910",
"telephone_number": "716-205-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "MICHELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0122773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.