Individual provider Active NPI

Bailey E O'Rourke

  • Clinical Social Worker
  • Corning, NY
National Provider Identifier
1154214773
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124350 Issued in NY
Practice address
77 E 1St St
Corning, NY 14830-2715
Phone
(607) 936-1771
Fax
(607) 937-2648
NPI assigned
Jun 2, 2025
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 124350 NY Primary

Addresses

Primary practice location

77 E 1St St
Corning, NY 14830-2715

Mailing address

33 Denison Pkwy W
Corning, NY 14830-2613
Phone (607) 937-3200

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

State licenses

LicenseStateTypeSpecialty
124350NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Inc. CurrentSince Jun 8, 2025 Accepting new patients
Erwin Psychiatric NP PLLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

33 Denison Pkwy W
Corning, NY 14830
Phone (607) 937-3200

77 E 1st St
Corning, NY 14830
Phone (607) 936-1771

Organizations & group practices 2

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1154214773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DENISON PKWY W",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302613",
            "telephone_number": "607-937-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-937-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "BAILEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "124350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.