Provider Demographics
NPI:1093429755
Name:BASS, NIKKI M (BSW)
Entity Type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:M
Last Name:BASS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:125 CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-3567
Mailing Address - Country:US
Mailing Address - Phone:910-894-2948
Mailing Address - Fax:910-410-1197
Practice Address - Street 1:125 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3567
Practice Address - Country:US
Practice Address - Phone:910-997-8453
Practice Address - Fax:910-410-1197
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker