Organization Active NPI

Bass Assertive Solutions & Support, LLC

  • Clinical Social Worker
  • Bessemer, AL
National Provider Identifier
1962905034
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3946C Issued in AL
Legal business name
BASS ASSERTIVE SOLUTIONS & SUPPORT, LLC
Practice address
439 Sunbelt Drive
Bessemer, AL 35022
Phone
(205) 276-4971
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dalila M. Bass, LICSW, PIPNPI 1851807051
Title
Clinical Director/Owner
Phone
(205) 276-4971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3946C AL Primary

Addresses

Primary practice location

439 Sunbelt Drive
Bessemer, AL 35022

Mailing address

439 Sunbelt Drive
Bessemer, AL 35022
Phone (205) 276-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180911000901 AL Part B Supplier - Clinic/Group Practice 7911257050 Receives reassigned benefits from 1 practitioner
Practice locations: Homewood, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1962905034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 SUNBELT DRIVE",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-276-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SUNBELT DRIVE",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-276-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS ASSERTIVE SOLUTIONS & SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DALILA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "205-276-4971",
        "authorized_official_credential": "LICSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3946C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.