Andrea Bailey, LSW
Individual provider Active NPI Social Worker · Niles, OH
NPI 1003383548 · NPPES record last updated Nov 1, 2018
Key facts
- NPI
- 1003383548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S0500353 (OH)
- Practice address
- 165 E Park Ave
Niles, OH 44446-2352 - Phone
- (330) 544-8005
- Fax
- (330) 544-9379
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0500353 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cadence Care Network | Past |
Accepting new patients | |
| Cadence Care Network | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0500353 | OH | Yes |
Addresses
Primary practice location
165 E Park Ave
Niles, OH 44446-2352
Mailing address
3011 Kirkhaven Dr
Youngstown, OH 44511-1947
Phone (330) 774-6229
Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.