Basshamdbt LLC
NPI 1174280002ActiveOrganization· Social Worker, Clinical· Birmingham, MI
Social Worker, Clinical in Birmingham, Michigan, registered in NPPES in November 2021, part of Mymentalspace.Org. The authorized official on file is Kelly Michael Bassham, LMSW, Ceo.
Overview
| NPI | 1174280002 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mymentalspace.Org |
| NPI issued | Nov 28, 2021 |
| Last updated in NPPES | Nov 28, 2021 |
| Certified by provider | Nov 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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