NPI 1972241537 · live from the CMS NPI Registry
Diedra Lynne Bass, MSW
Social Worker in Spencer, OK. National Provider Identifier 1972241537, active.
NPI record
| NPI | 1972241537 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 12716 Ne 36th St, Spencer, OK 73084 |
| Practice phone | 405-769-3301 |
| Mailing address | Po Box 30589, Midwest City, OK 73140 |
| Enumerated | May 24, 2022 |
| Last updated | May 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.