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Contact Information

MARTHA B BASS, LICSW
16 WAYLAND HILLS RD
WAYLAND, MA01778-3810
 Phone: 508-653-0451
 Fax: 508-653-6094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARTHA B BASS · (Female)

NPI Number 1003000910
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 09/04/2007
Last updated 09/04/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1022489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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