Yvette D. Bailey, MSW, P-LCSW

Individual provider Active NPI Clinical Social Worker · Butner, NC

NPI 1154570430 · NPPES record last updated Sep 11, 2008

Key facts

NPI
1154570430
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P003764 (NC)
Practice address
1003 12TH St
Butner, NC 27509-1626
Phone
(919) 575-2131
Fax
(919) 575-2139
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
P003764NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P003764 NC Yes

Addresses

Primary practice location

1003 12TH St
Butner, NC 27509-1626

Mailing address

1003 12TH St
Butner, NC 27509-1626
Phone (919) 575-2131

Other providers in Butner, NC

All providers in Butner, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.