Chaundra Bailey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005631 Issued in CT

Practice address

60 Connolly Pkwy
Suite B Room 108
Hamden, CT 06514-2593

Phone

(203) 230-1831

Fax

(203) 230-1831

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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 CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bailey Counseling Service LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1568534196
  NPD (past) Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164433942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "SUITE B ROOM 108",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-230-1831",
            "fax_number": "203-230-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "SUITE B ROOM 108",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-230-1831",
            "fax_number": "203-230-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHAUNDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Babu, DPM
• Rochelle Bacote
• Antoinette J Badillo
• Erikka Baehring, APRN
• Bailey Counseling Service LLC
• Parneet K Bajwa, DDS
• Kirsten Magdaline Baker, M.D. ,F.A..A..P.
• Alexandra Lucia Bakovic, ATC
• Balanced Therapy, LLC
• Tyona Ballard, RBT

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.