Individual provider Active NPI

Jodi Bassett, LCSW

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1447340633
Registry record updated Oct 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58297 Issued in TX
Practice address
4200 Ridgecrest Cir
BLDG B Ste 8
Amarillo, TX 79109-5416
Phone
(806) 372-1092
Fax
(806) 372-7868
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2013

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 58297 TX Primary

Addresses

Primary practice location

4200 Ridgecrest Cir
BLDG B Ste 8
Amarillo, TX 79109-5416

Mailing address

4200 Ridgecrest Cir
BLDG B Ste 8
Amarillo, TX 79109-5416
Phone (806) 372-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131212000381 TX Practitioner - Clinical Social Worker 9739316043 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3419 S Coulter St
Suite 3
Amarillo, TX 79109-4063
Phone (806) 372-1092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Amarillo Counseling Associates PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382227200000",
    "number": "1447340633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 RIDGECREST CIR",
            "address_2": "BLDG B STE 8",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095416",
            "telephone_number": "806-372-1092",
            "fax_number": "806-372-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 RIDGECREST CIR",
            "address_2": "BLDG B STE 8",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095416",
            "telephone_number": "806-372-1092",
            "fax_number": "806-372-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.