Jessica Bass is a Clinical in San Leandro, California. Jessica Bass practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Bass is 1164570560. The last update date is 2023-10-24.
Jessica Bass's current location address is 545 Estudillo Ave, San Leandro, California. You can contact this provider via phone number 5107461188. The mailing address for Jessica Bass is 545 Estudillo Ave, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Bass |
|---|---|
| Address | 545 Estudillo Ave, San Leandro, California |
| Phone Number | 5107461188 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164570560 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
| Address | 545 Estudillo Ave |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945774611 |
| Phone Number | 5107461188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 69524 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Jessica Bass's 1164570560?
The Jessica Bass's NPI (National Provider Identifier) Number is 1164570560. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jessica Bass?
The Jessica Bass is situated at 545 Estudillo Ave, in the city of San Leandro, state of CA, with the zip code 945774611.
What is Jessica Bass's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Bass is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1164570560 assigned to Jessica Bass?
The Jessica Bass was issued its 1164570560 on 2007-01-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jessica Bass, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica Bass, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-24.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL