Individual provider · Type 1 NPI

Ayesha Nicole Bass

Clinical Social Worker · Sacramento, CA

NPI number 1790456838 Active

Practice location

PO Box 340501
Sacramento, CA 95834-0501

Call (916) 400-1588 Map

Mailing address

520 Samuel Way
Sacramento, CA 95838-2690

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X127563 (CA)

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 1790456838

Ayesha Nicole Bass's National Provider Identifier is 1790456838, issued on Sep 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Jan 6, 2025.