Individual provider Active NPI

Ronald Wayne Bailey, LCSW

  • Clinical Social Worker
  • Enid, OK
National Provider Identifier
1013686740
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8098P Issued in OK
Practice address
Millennium Medical Services
312 N. Van Buren St
Enid, OK 73703
Phone
(580) 297-5125
NPI assigned
Sep 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8098P OK Primary

Addresses

Primary practice location

Millennium Medical Services
312 N. Van Buren St
Enid, OK 73703

Mailing address

4113 Sand View Drive
Enid, OK 73703-2803
Phone (580) 297-3618

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8098POKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Community Services LLC CurrentSince Sep 12, 2021 Accepting new patients
Millennium Medical Services, L.L.C. Clinical CurrentSince Sep 12, 2021 Accepting new patients

Locations

312 N Van Buren St
Enid, OK 73703
Phone (580) 297-5125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1013686740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 SAND VIEW DRIVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032803",
            "telephone_number": "580-297-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILLENNIUM MEDICAL SERVICES",
            "address_2": "312 N. VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-297-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "8098P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.