Allison Bass, LCSW

Individual provider Active NPI Clinical Social Worker · Corning, AR

NPI 1871196808 · NPPES record last updated Jun 30, 2023

Key facts

NPI
1871196808
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
602 David St
Corning, AR 72422-7268
Phone
(870) 857-3655
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10156MARMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10156M AR
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

602 David St
Corning, AR 72422-7268

Mailing address

602 David St
Corning, AR 72422-7268

Other providers in Corning, AR

All providers in Corning, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.