Organization Active NPI

Balance Bayly Therapy

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1245002005
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALANCE BAYLY THERAPY
Practice address
4809 Fort Sumner Dr
Bethesda, MD 20816-2464
Phone
(301) 461-7419
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Louise Hannallah Bayly, LCSWNPI 1376995886
Title
Founder
Phone
(301) 461-7419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4809 Fort Sumner Dr
Bethesda, MD 20816-2464

Mailing address

4809 Fort Sumner Dr
Bethesda, MD 20816-2464
Phone (301) 461-7419

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1245002005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 FORT SUMNER DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162464",
            "telephone_number": "301-461-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 FORT SUMNER DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162464",
            "telephone_number": "301-461-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE BAYLY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "BAYLY",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "HANNALLAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-461-7419",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.