April Diane Bailye, LCSW
Individual provider Active NPI Clinical Social Worker · Southaven, MS
NPI 1265699417 · NPPES record last updated Nov 15, 2016
Key facts
- NPI
- 1265699417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8738 (MS)
- Practice address
- 6857 Cobblestone Blvd
Southaven, MS 38672-9312 - Phone
- (662) 253-8040
- Fax
- (662) 470-5984
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8738 | MS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 3123-C | AR | |
| Clinical Social Worker | 1041C0700X | 8738 | MS | Yes |
Addresses
Primary practice location
6857 Cobblestone Blvd
Southaven, MS 38672-9312
Mailing address
58 Timber Creek Dr
Cordova, TN 38018-4233
Phone (901) 566-1002
Other providers in Southaven, MS
- Samantha Ayers
- Julian Jude Jessu Ayroor
- Syed S Azmi
- Michaeline Bailey
- Phyllis A Bailey
- Keith Leveq Baker
- Lauren Elizabeth Baker
- Tamila Baker
- Bakeris Chriopractic Clinic
- David Michael Bakeris
All providers in Southaven, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.