Individual provider Active NPI

Michelle L Lindsay-Bailey, LCSW

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1215958897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13069 Issued in MD
Practice address
1400 Mercantile LN
232
Largo, MD 20774-5341
Phone
(301) 583-0001
Fax
(301) 583-3403
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 13069 MD Primary

Addresses

Primary practice location

1400 Mercantile LN
232
Largo, MD 20774-5341

Mailing address

1400 Mercantile LN
232
Largo, MD 20774-5341
Phone (301) 583-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20150220001789 GA Practitioner - Clinical Social Worker 8729085154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5682 Palazzo Way
Unit 101
Douglasville, GA 30134-2500
Phone (404) 682-9503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13069MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
ML Enrichment Services Inc. Clinical CurrentSince Jul 23, 2014 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Community Counseling & Mentoring Services,Inc Past Accepting new patients
Community Counseling & Mentoring Services, Inc Past Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

5682 Palazzo Way
Ste 101
Douglasville, GA 30134
Phone (404) 397-1976

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215958897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "232",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-583-0001",
            "fax_number": "301-583-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "232",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-583-0001",
            "fax_number": "301-583-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY-BAILEY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.