Individual provider Active NPI

Andrea Christina Bai, LCSW

  • Clinical Social Worker
  • Woodland Hills, UT
National Provider Identifier
1205073129
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6728409-3501 Issued in UT
Practice address
265 S Woodland Hills Dr
Woodland Hills, UT 84653-2003
Phone
(801) 808-2826
Fax
(801) 618-1714
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 67284093502 UT
Clinical Social Worker 1041C0700X 6728409-3501 UT Primary

Addresses

Primary practice location

265 S Woodland Hills Dr
Woodland Hills, UT 84653-2003

Mailing address

265 S Woodland Hills Dr
Woodland Hills, UT 84653-2003
Phone (801) 808-2826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67284093502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wilsons Family Psychiatry PastSince Mar 26, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1205073129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S WOODLAND HILLS DR",
            "city": "WOODLAND HILLS",
            "state": "UT",
            "postal_code": "846532003",
            "telephone_number": "801-808-2826",
            "fax_number": "801-618-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S WOODLAND HILLS DR",
            "city": "WOODLAND HILLS",
            "state": "UT",
            "postal_code": "846532003",
            "telephone_number": "801-808-2826",
            "fax_number": "801-618-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "ANDREA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "67284093502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6728409-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, UT

Sources for this page

Verify at the official NPI Registry.