Active NPI
Pamela A Bass, MSW LCSW
- Social Worker
- Omaha, NE
National Provider Identifier
1811958598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 683
- Practice address
- 11330 Q Street
Suite 230
Omaha, NE 68137 - Phone
- (402) 960-1652
- Fax
- (402) 597-2349
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 683 | NE | Primary |
Addresses
Primary practice location
11330 Q Street
Suite 230
Omaha, NE 68137
Mailing address
11330 Q Street
Suite 230
Omaha, NE 68137
Phone (402) 960-1652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025349100 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 568 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1811958598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 Q STREET",
"address_2": "SUITE 230",
"city": "OMAHA",
"state": "NE",
"postal_code": "68137",
"telephone_number": "402-960-1652",
"fax_number": "402-597-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 Q STREET",
"address_2": "SUITE 230",
"city": "OMAHA",
"state": "NE",
"postal_code": "68137",
"telephone_number": "402-960-1652",
"fax_number": "402-597-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025349100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.