Jessica Bass | San Leandro, CA • PECOS Search

Jessica Bass

Social Worker

Behavioral Health & Social Service Providers

545 Estudillo Ave, San Leandro, CA 94577-4611

(510) 746-1188 (415) 450-0572

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Bass does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164570560
Provider Type
Individual
Full Name
Bass, Jessica
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/8/2007
Last Updated
10/24/2023

Contact Information

Practice Location

545 Estudillo Ave, San Leandro, CA 94577-4611

Unlisted Fax

Mailing Location

22245 Main St Ste 200, Hayward, CA 94541-4028

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 69524 California