Individual
MS. BOBBY BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOBBY BASS, L.C.S.W.
Contact information
Practice address
8 HILLSIDE AVE, SUITE 206, MONTCLAIR, NJ 07042-2129
(973) 819-3377
Mailing address
8 HILLSIDE AVE, SUITE 206, MONTCLAIR, NJ 07042-2129
(973) 819-3377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44SC04564300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492298000
MAGELLAN BEHAVIORAL HEALTH OUT OF NETWORK PROVIDER
NJ
01
—
P3457598
OXFORD HEALTH PLAN OUT OF NETWORK PROVIDER
NJ
01
—
SC45643
NJ BOARD OF SOCIAL WORK
NJ
Enumeration date
02/18/2007
Last updated
06/17/2016
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