Amanda Kay Bailey, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084096 Issued in NY

Practice address

4790 Middle Settlement Rd
Whitesboro, NY 13492-2834

Phone

(315) 601-8437

Fax

(315) 922-7645

NPI assigned

May 23, 2018

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Bailey Counseling Services, Licensed Clinical Social Work PLLC

  • Clinical Social Worker
  • Whitesboro, NY
  • NPI 1841973591
  NPD Authorized official
• M R Goriganti Physician PLLC

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
  • NPI 1508049032
  NPD (past)
• Rising Potential Counseling LCSW PLLC

  • Clinical Social Worker
  • Rome, NY
  • NPI 1114590163
  NPD (past)
• Upstate Pain Medicine PC

  • Specialist
  • Fulton, NY
  • NPI 1255498424
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1245721489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 MIDDLE SETTLEMENT RD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922834",
            "telephone_number": "315-601-8437",
            "fax_number": "315-922-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 MIDDLE SETTLEMENT RD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922834",
            "telephone_number": "315-601-8437",
            "fax_number": "315-922-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05916752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Bailey Counseling Services, Licensed Clinical Social Work PLLC
• Stephanie Aiello, LCSW
• Miranda Aldrich, LMSW
• Alicia Zielenski Psychologist and Licensed Behavior Analyst PLLC
• Nataliya Andranovich, MS,FNP-BC
• Claudia Nicole Bailey
• Svetlana Baluk, FNP
• Adrian Bartholomeo
• Jennifer Barton, FNP-BC
• Daniela Belous, NP

• Clinical Social Worker in Whitesboro, NY
• Providers in Whitesboro, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.