Averett W Bass, LICSW
Social Worker, Clinical in Longmeadow, Massachusetts
1417607953- Practice location
- 175 Dwight RD, Longmeadow, MA 01106-1576
- Phone
- 413-363-2042
- Fax
- —
- Last updated
- June 16, 2022
Averett William Heinz Bass is a Social Worker, Clinical based in Longmeadow, MA. Averett William Heinz Bass practices in Longmeadow, MA and has the professional credentials of LICSW. The NPI Number for Averett William Heinz Bass is 1417607953 and holds a License No. 123969 (MA). The current practice location address for Averett William Heinz Bass is 175 Dwight RD, Longmeadow, MA 01106-1576 and can be reached out via phone at 413-363-2042.
Provider Profile Details
- NPI Number
- 1417607953
- Provider Name
- Averett William Heinz Bass
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 175 Dwight RD, Longmeadow, MA 01106-1576
- Phone Number
- 413-363-2042
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 27, 2022
- Last Update Date
- June 16, 2022
- Certification Date
- June 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Dwight RD
Longmeadow, MA 01106-1576 - City
- Longmeadow
- State
- Massachusetts
- Zip
- 01106-1576
- Phone Number
- 413-363-2042
Provider Business Mailing Address Details
- Address
- 175 Dwight RD Ste 303C
Longmeadow, MA 01106-1576 - City
- Longmeadow
- State
- MA
- Zip
- 01106-1576
License Information
- License Number
- 123969
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Averett W Bass, LICSW?
The NPI number of Averett W Bass, LICSW is 1417607953. It was assigned on March 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Averett W Bass, LICSW?
Averett W Bass, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 123969.
Where does Averett W Bass, LICSW practice?
The practice location is 175 Dwight RD, Longmeadow, MA 01106-1576. The office can be reached at 413-363-2042 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417607953 directly on the NPPES registry website.