Thaddeus James Bay, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008897A Issued in IN

Practice address

10331 Dawsons Creek Blvd Ste D
Fort Wayne, IN 46825-1908

Phone

(260) 525-5807

Fax

(260) 217-0864

NPI assigned

Aug 20, 2020

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bay Mental Health LLC

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1972241925
  Medicare reassignment NPD Authorized official
• Dunn Associates PC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1740362391
  Medicare reassignment
• Elevation Enterprises, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1538932728
  NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1154933216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 DAWSONS CREEK BLVD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251908",
            "telephone_number": "260-525-5807",
            "fax_number": "260-217-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 DAWSONS CREEK BLVD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251908",
            "telephone_number": "260-525-5807",
            "fax_number": "260-217-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAY",
        "first_name": "THADDEUS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008897A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Martin Baumgartner, PHARMD
• Curt Edward Baumle, CRT
• Terah Bautista, FNP-C
• Angela K Baxter, MA, CCC-SLP
• Bay Mental Health LLC
• Bayada Home Health Care, Inc. (BAYADA Pediatrics)
• Emily Bayer
• Sydney Erin Bayer, M.ED.
• Loretta Bazur-Persing, NP
• BB Custoria Home Care LLC

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.