Individual provider Active NPI

Andrew S Bailey, LCSW

  • Clinical Social Worker
  • Hartland, WI
National Provider Identifier
1043683451
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8383-123 Issued in WI
Practice address
515 W North Shore Dr Ste 101
Hartland, WI 53029-8365
Phone
(262) 682-3147
NPI assigned
Nov 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 8383-123 WI Primary

Addresses

Primary practice location

515 W North Shore Dr Ste 101
Hartland, WI 53029-8365

Mailing address

515 W North Shore Dr Ste 101
Hartland, WI 53029-8365
Phone (262) 682-3147

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Anxiety and Depression Clinic, LLC. CurrentSince Oct 30, 2022 Accepting new patients

Locations

515 W North Shore Dr
Ste 101
Hartland, WI 53029
Phone (262) 682-3147

200 W Summit Ave
Ste 260
Wales, WI 53183

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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1043683451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W NORTH SHORE DR STE 101",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298365",
            "telephone_number": "262-682-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W NORTH SHORE DR STE 101",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298365",
            "telephone_number": "262-682-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8383-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.