Ami P Bass, LCSW

Individual provider Active NPI Clinical Social Worker · Waterville, ME

NPI 1952650004 · NPPES record last updated Nov 24, 2014

Key facts

NPI
1952650004
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC14930 (ME)
Practice address
10 Water St
Suite 303
Waterville, ME 04901-6566
Phone
(207) 861-3500
Fax
(207) 861-6201
NPI assigned
Sep 5, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC14930 ME Yes

Addresses

Primary practice location

10 Water St
Suite 303
Waterville, ME 04901-6566

Mailing address

10 Water Street
Suite 303
Waterville, ME 04901-6566

Other providers in Waterville, ME

All providers in Waterville, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.