Adrienne Leigh Bain, LISW, LCSW, C-ASWCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203697 Issued in OH

Practice address

4881 Sugar Maple Dr
Dayton, OH 45433-5529

Phone

(937) 257-5938

Fax

(937) 656-1262

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Adrienne Leigh Zimmern Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1255849451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR.",
            "address_2": "88 MDG/SGHH - EXCEPTIONAL FAMILY MEMBER PROGRAM",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-5938",
            "fax_number": "937-656-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-5938",
            "fax_number": "937-656-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "ADRIENNE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LISW, LCSW, C-ASWCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203697",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "ZIMMERN",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "LISW, C-ASWCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nia Bailey
• Ronnetta Bailey
• Sharia Bailey
• Taylor Bailey
• Tianna Bailey, DPT
• Elizabeth Ann Bain, PCC
• Loveleen Bains, MD
• Nicholle Megan Bair, LISW
• Taylor Marie Bair
• Vicki Bair

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.