Jeffrey Bakely, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012808 Issued in PA

Practice address

2055 E Allegheny Ave
Philadelphia, PA 19134-3832

Phone

(215) 427-5800

Fax

(215) 427-5767

NPI assigned

Mar 20, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• HR Physician Services

  • Child & Adolescent Psychiatry Physician
  • Huntingdon Valley, PA
  • NPI 1205500188
  NPD (past)
• Philmont Guidance Center, P.C.

  • Child & Adolescent Psychiatry Physician
  • Huntingdon Valley, PA
  • NPI 1972555605
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1225153992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W DURAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192505",
            "telephone_number": "215-843-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343832",
            "telephone_number": "215-427-5800",
            "fax_number": "215-427-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKELY",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bak
• Bojidar M Bakalov, M.D.
• Dara Bakar, MD
• Fatima Bakayoko
• Nihal Bakeer, M.D.
• Sharon Nabila Baker-Bey, LPC
• Katy Baker-Cohen, BSN, RN
• Samantha Elizabeth Baker-Evens, APRN
• Abby Baker, PSY.D, LPC
• Alyssa Vaysman Baker, PHARM.D.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.