Individual provider Active NPI

Tempie Bass, LCSW

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1689821555
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7106 Issued in FL
Practice address
4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183
Phone
(863) 709-8110
Fax
(863) 709-8118
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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 SW7106 FL Primary

Addresses

Primary practice location

4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183

Mailing address

4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183
Phone (863) 709-8110

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7106FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bettye West & Associates, Inc. Past Accepting new patients
Advance Psychological Consulting Services, LLC PastSince May 14, 2023 Accepting new patients
Psychological Associates of Central Florida Past Accepting new patients

Organizations & group practices 3

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1689821555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132183",
            "telephone_number": "863-709-8110",
            "fax_number": "863-709-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132183",
            "telephone_number": "863-709-8110",
            "fax_number": "863-709-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "TEMPIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.