Bobby Bass, BOBBY BASS, L.C.S.W.

Primary specialty

SpecialistTaxonomy code 174400000X

License

44SC04564300 Issued in NJ

Practice address

8 Hillside Ave
Suite 206
Montclair, NJ 07042-2129

Phone

(973) 819-3377

NPI assigned

Feb 18, 2007

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 3

Other names 1

• Ms. Barbara Bass Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1467596874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "address_2": "SUITE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "973-819-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "address_2": "SUITE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "973-819-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "BOBBY",
        "name_prefix": "Ms.",
        "credential": "BOBBY BASS, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "44SC04564300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF SOCIAL WORK",
            "identifier": "SC45643",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN OUT OF NETWORK PROVIDER",
            "identifier": "P3457598",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH OUT OF NETWORK PROVIDER",
            "identifier": "492298000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BASS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frank Barnes Jr., O.D.
• Annie Olivia Barnett, MSOT, OTR
• Gary Alan Barr, MD
• Chameeka Olivia Barrett, M.D.
• Donna M Barry, APN-C
• Rivka Bauman, CLD
• Esther D. Baxam-Spence, RN, MSN, CNNP
• BCMM Medical Supplies Corporation
• Amani Dorothy Beach
• Behavioral Health Specialist at Highland LLC

• Specialist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.