Michelle Bliss Bayles, LCSW

Individual provider Active NPI Social Worker · Pawtucket, RI

NPI 1235855818 · NPPES record last updated Nov 7, 2024

Key facts

NPI
1235855818
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
LCSW2120858 (MA)
Practice address
413 Central Ave Unit 10-314
Pawtucket, RI 02861-2080
Phone
(423) 310-8823
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW2120858MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services, Inc. Mental Health Past
since Jan 20, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW2120858 MA Yes

Addresses

Primary practice location

413 Central Ave Unit 10-314
Pawtucket, RI 02861-2080

Mailing address

413 Central Ave Unit 10-314
Pawtucket, RI 02861-2080
Phone (423) 310-8823

Other names

  • Michelle Bliss Former name

Other providers in Pawtucket, RI

All providers in Pawtucket, RI · Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.