Individual provider · Type 1 NPI

Traci Shain Bass, LCSW, MBA

Clinical Social Worker · Perry, GA

NPI number 1538073010 Active

Practice location

429 Langston Rd
Perry, GA 31069-9325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW010764 (GA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1538073010

Traci Shain Bass, LCSW, MBA's National Provider Identifier is 1538073010, issued on Sep 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Perry, GA. The record was last updated on Sep 30, 2026.