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NPI Code Detail

MEDICARE: BRITTANY L BASS JONES LISW-CP

MEDICARE: BRITTANY L BASS JONES LISW-CP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSC
2104100000XSocial Worker

General Provider Information

NPI Number : 1619660347
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY L BASS JONES LISW-CP
Provider Business Mailing Address
First Line : 9600 TWO NOTCH RD STE 5
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-1612
Country : US
Telephone Number : 803-265-3456
Fax Number :
Provider Business Practice Location Address
First Line : 9600 TWO NOTCH RD STE 5
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-1612
Country : US
Telephone Number : 803-265-3456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 04/02/2026

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Directions to “ BRITTANY L BASS JONES LISW-CP” Practice Location

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