Active NPI
John Carroll Bass, LSW
- Clinical Social Worker
- Clarks Summit, PA
National Provider Identifier
1992783591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW000661L
- Practice address
- 106 Stone Ave
Clarks Summit, PA 18411-1538 - Phone
- (570) 586-7287
- Fax
- (570) 586-3840
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW000661L | PA | Primary |
Addresses
Primary practice location
106 Stone Ave
Clarks Summit, PA 18411-1538
Mailing address
106 Stone Ave
Clarks Summit, PA 18411-1538
Phone (570) 586-7287
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW000661L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thaxton Holistic Wellness Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992783591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 STONE AVE",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111538",
"telephone_number": "570-586-7287",
"fax_number": "570-586-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 STONE AVE",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111538",
"telephone_number": "570-586-7287",
"fax_number": "570-586-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "JOHN",
"middle_name": "CARROLL",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW000661L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.