Individual provider Active NPI

Danielle Bailey, LCSW

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1033567672
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10610 Issued in LA
Practice address
4111 Pines Rd Unit 65
Shreveport, LA 71119-7323
Phone
(318) 613-0147
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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 10610 LA Primary

Addresses

Primary practice location

4111 Pines Rd Unit 65
Shreveport, LA 71119-7323

Mailing address

4111 Pines Rd Unit 65
Shreveport, LA 71119-7323
Phone (318) 613-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202000906 LA Practitioner - Clinical Social Worker 1355624123 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10610LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Therapy Center, LLC CurrentSince Dec 29, 2021 Accepting new patients

Locations

1102 Texas Ave
Alexandria, LA 71301
Phone (318) 613-0147

Interoperability endpoints

  • Direct secure messaging: danielle.bailey@drfmc.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1033567672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 PINES RD UNIT 65",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197323",
            "telephone_number": "318-613-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 PINES RD UNIT 65",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197323",
            "telephone_number": "318-613-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.