Godelieve Elisabeth Bain, LCSW-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

072663-1 Issued in NY

Practice address

50 Stanford Dr
Rochester, NY 14610-2340

Phone

(585) 419-5791

NPI assigned

Sep 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1053693861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PARK LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252072",
            "telephone_number": "585-419-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANFORD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102340",
            "telephone_number": "585-419-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "GODELIEVE",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "072663-1",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "072663-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Bailey, M.D.
• Tracey P Bailey, LPN
• Tracy L. Bailey, LPN
• Connett Baileytaylor
• Erik Christopher Baim, MD
• Bainbridge LLC (Miracle Ear)
• Bainbridge LLC (Miracle Ear)
• Denise Marie Bains, LCSW
• Jaspal K Bains, PHARM.D.
• Steven Conrad Bair, DO

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.