Active NPIIndividual providerSole proprietor

Kelley Bailey, LICSW

Social Worker, Clinical in Auburn, Massachusetts

NPI Number1164857835
Practice location
714B Southbridge St Ste 6, Auburn, MA 01501
Fax
774-272-8746
Last updated
June 6, 2018

Kelley Bailey is a Social Worker, Clinical based in Auburn, MA. Kelley Bailey practices in Auburn, MA and has the professional credentials of LICSW. The NPI Number for Kelley Bailey is 1164857835 and holds a License No. 119298 (MA). The current practice location address for Kelley Bailey is 714B Southbridge St Ste 6, Auburn, MA 01501 and can be reached out via phone at 508-868-2149 and via fax at 774-272-8746.

Provider Profile Details

NPI Number
1164857835
Provider Name
Kelley Bailey
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
714B Southbridge St Ste 6, Auburn, MA 01501
Phone Number
508-868-2149
Fax Number
774-272-8746
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2013
Last Update Date
June 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
714B Southbridge St Ste 6
Auburn, MA 01501
City
Auburn
Zip
01501
Phone Number
508-868-2149
Fax Number
774-272-8746
Auburn, MA 01501Get directions →

Provider Business Mailing Address Details

Address
714B Southbridge St Ste 6
Auburn, MA 01501-1821
City
Auburn
State
MA
Zip
01501-1821
Phone Number
508-868-2149
Fax Number
774-272-8746

License Information

License Number
119298
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelley Bailey, LICSW?

The NPI number of Kelley Bailey, LICSW is 1164857835. It was assigned on September 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Kelley Bailey, LICSW?

Kelley Bailey, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119298.

Where does Kelley Bailey, LICSW practice?

The practice location is 714B Southbridge St Ste 6, Auburn, MA 01501. The office can be reached at 508-868-2149 (phone) or 774-272-8746 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164857835 directly on the NPPES registry website.

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