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Ms. Bobby Bass, BOBBYBASS,LCSW
Specialist in Montclair, New Jersey
NPI 1467596874

Bobby Bass is a Specialist based in Montclair, NJ. Bobby Bass practices in Montclair, NJ and has the professional credentials of BOBBYBASS,LCSW. The NPI Number for Bobby Bass is 1467596874 and holds a License No. 44SC04564300 (New Jersey).

The current practice location address for Bobby Bass is 8 Hillside Ave, Montclair, NJ and can be reached out via phone at 973-819-3377.

Location: 8 Hillside Ave, Montclair, NJ, 07042-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467596874
Provider Name
Bobby Bass
Credential
BOBBYBASS,LCSW
Provider Entity Type
Individual
Gender
Female
Address
8 Hillside Ave, Montclair, NJ, 07042-2129
Phone Number
973-819-3377
Fax Number
Provider Enumeration Date
02/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SC45643 01 NJ NJ BOARD OF SOCIAL WORK
P3457598 01 NJ OXFORD HEALTH PLAN OUT OF NETWORK PROVIDER
492298000 01 NJ MAGELLAN BEHAVIORAL HEALTH OUT OF NETWORK PROVIDER
institution
Provider Business Practice Location Address Details
Address
8 Hillside Ave
City
Montclair
State
New Jersey
Zip
07042-2129
Phone Number
973-819-3377
Fax Number
person
Provider Business Mailing Address Details
Address
8 Hillside Ave
City
Montclair
State
New Jersey
Zip
07042-2129
Phone Number
973-819-3377
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
44SC04564300 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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