Active NPI
Ilene Lillian Bayer, LCSW
- Clinical Social Worker
- Dobson, NC
National Provider Identifier
1003187089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007611
- Practice address
- 119-A N. Crutchfield Street
Dobson, NC 27017-1022 - Phone
- (336) 443-4116
- Fax
- (336) 443-4092
- NPI assigned
- Jan 23, 2012
- Last updated
- May 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C007611 | NC | Primary |
Addresses
Primary practice location
119-A N. Crutchfield Street
Dobson, NC 27017-1022
Mailing address
PO Box 1022
119-A N. Crutchfield Street
Dobson, NC 27017-1022
Phone (336) 443-4116
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12388384 | Other | NC | CAQH |
| 6007433 | Medicaid | NC | |
| Q39633A | Other | NC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Dobson, NC
- NPI 1205269206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1003187089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1022",
"address_2": "119-A N. CRUTCHFIELD STREET",
"city": "DOBSON",
"state": "NC",
"postal_code": "270171022",
"telephone_number": "336-443-4116",
"fax_number": "336-443-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119-A N. CRUTCHFIELD STREET",
"city": "DOBSON",
"state": "NC",
"postal_code": "270171022",
"telephone_number": "336-443-4116",
"fax_number": "336-443-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYER",
"first_name": "ILENE",
"middle_name": "LILLIAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12388384",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007433",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Q39633A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dobson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.