Individual provider Active NPI

Jordan R. Bailey, LMSW, MT-BC

  • Social Worker
  • Dallas, TX
National Provider Identifier
1063904373
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118132 Issued in TX
Practice address
2901 Indiana Blvd Apt 275
Dallas, TX 75226-1549
Phone
(205) 861-5473
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 118132 TX Primary
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X 13693 TX

Addresses

Primary practice location

2901 Indiana Blvd Apt 275
Dallas, TX 75226-1549

Mailing address

2901 Indiana Blvd Apt 275
Dallas, TX 75226-1549
Phone (205) 861-5473

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

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1063904373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 INDIANA BLVD APT 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261549",
            "telephone_number": "205-861-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 INDIANA BLVD APT 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261549",
            "telephone_number": "205-861-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JORDAN",
        "middle_name": "R.",
        "credential": "LMSW, MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "118132",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "TX",
            "license": "13693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.