Becky Jo Bailey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

43375 Issued in ID

Practice address

4477 W Emerald St
Boise, ID 83706-2000

Phone

(208) 321-0160

Fax

(208) 321-0221

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Quality

67.72

Promoting interoperability

98

Improvement activities

40

Cost

63.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: becky.bailey.1@24259.direct.athenahealth.com

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.

• The Healing Fountain, LLC

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1609807304

  Mental Health

  NPD
• Behavioral Health Solutions of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1164286092
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1275192098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SUNNY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512229",
            "telephone_number": "208-880-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062000",
            "telephone_number": "208-321-0160",
            "fax_number": "208-321-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BECKY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "43375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Bahnmaier, MS, ATC/L, OTC
• Cynthia Susanne Bahora, LCSW
• Bailey Case Management
• Marie Bailey-Dabney, RD, LD, CNSC
• Andrea L Bailey, RD, LD
• Carrie Jo Bailey, MD
• Carson Bailey
• Jeanne Suzanne Bailey, M.D.
• Jeremy Bailey
• Julia S. Bailey, NP

• All providers in Boise, ID
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.