Individual provider Active NPI

Bailey J Drake, LISW

  • Clinical Social Worker
  • Lenox, IA
National Provider Identifier
1124537691
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086075 Issued in IA
Practice address
600 S Locust St
Lenox, IA 50851-1327
Phone
(641) 344-0410
NPI assigned
Sep 27, 2017
Last updated
Mar 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086075 IA
Clinical Social Worker 1041C0700X 086075 IA Primary

Addresses

Primary practice location

600 S Locust St
Lenox, IA 50851-1327

Mailing address

1003 Cottonwood Rd
Creston, IA 50801-1012
Phone (641) 782-8457

Other practice location 1

204 South St
Diagonal, IA 50845-1019
Phone (641) 344-0410

Other identifiers 1

IdentifierTypeStateIssuer
1124537691MedicaidIA

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

State licenses

LicenseStateTypeSpecialty
086075IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Drake Lisw LLC Clinical CurrentSince Aug 17, 2025 Accepting new patients
Crossroads Behavioral Health Center Past Accepting new patients
Crossroads Behavioral Health Services Past Accepting new patients

Locations

216 Broadway St
Diagonal, IA 50845
Phone (641) 344-0410

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1124537691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011012",
            "telephone_number": "641-782-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LOCUST ST",
            "city": "LENOX",
            "state": "IA",
            "postal_code": "508511327",
            "telephone_number": "641-344-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 South St",
            "address_purpose": "LOCATION",
            "city": "Diagonal",
            "state": "IA",
            "postal_code": "508451019",
            "country_code": "US",
            "telephone_number": "641-344-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "BAILEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "086075",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "086075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124537691",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.