Dalila Bass, MSW, LICSW, PIP | |
85 Bagby Dr, Ste 336, Homewood, AL 35209-3717 | |
(205) 545-0874 | |
Not Available |
Full Name | Dalila Bass |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 85 Bagby Dr, Homewood, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851807051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW006007 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | 3946C (Alabama) | Primary |
Entity Name | Bass Assertive Solutions & Support, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962905034 PECOS PAC ID: 7911257050 Enrollment ID: O20180911000901 |
Mailing Address | Practice Location Address |
---|---|
Dalila Bass, MSW, LICSW, PIP Po Box 364, Shannon, AL 35142-0364 Ph: (205) 276-4971 | Dalila Bass, MSW, LICSW, PIP 85 Bagby Dr, Ste 336, Homewood, AL 35209-3717 Ph: (205) 545-0874 |
Melissa Thornton Thomas, LICSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2204 Lakeshore Dr, Homewood, AL 35209 Phone: 205-874-7844 | |
Mrs. Rachel Anne Enslin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3250 Independence Dr, Homewood, AL 35209 Phone: 801-699-0913 | |
Mr. Nathan Andrew Salter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1553 Beckham Dr, Homewood, AL 35209 Phone: 850-326-2437 | |
Ms. Priscilla W. Eggleston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Independence Plz, Suite 716, Homewood, AL 35209 Phone: 205-871-0031 Fax: 205-803-1280 | |
Alexis Saville, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2204 Lakeshore Dr Ste 440, Homewood, AL 35209 Phone: 205-807-1740 | |
Mrs. Jakeia Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Bagby Dr Ste 336, Homewood, AL 35209 Phone: 205-545-0874 Fax: 205-377-7762 |