Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adeyosola Bass

Individual provider Clinical Social Worker · NPI 1124578679

Adeyosola Bass is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2016, 10 years ago. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

3000 Highwoods Blvd Ste 310
Raleigh, NC 27604-1029
Phone: (919) 714-7500
Fax: (919) 714-7367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P015486 (NC)

Record details

NPI number1124578679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2016
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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