Bobbi A Bailey, LCSW
Individual provider Active NPI Clinical Social Worker · Watertown, NY
NPI 1275818205 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1275818205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 083572-1 (NY)
- Practice address
- 1575 Washington St
Watertown, NY 13601-9371 - Phone
- (315) 779-5060
- Fax
- (315) 779-5028
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Center
Practice addresses (Care Compare)
1575 Washington St
Watertown, NY 13601-9371
Phone (315) 779-5060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151125000103 | NY | Practitioner - Clinical Social Worker | 3678873536 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083572 | NY | MD | Social Worker |
| 083572-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Medical Center | Current |
Accepting new patients |
Locations
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
1575 Washington St
Watertown, NY 13601
Phone (315) 779-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 085027 | NY | |
| Clinical Social Worker | 1041C0700X | 083572-1 | NY | Yes |
Addresses
Primary practice location
1575 Washington St
Watertown, NY 13601-9371
Mailing address
1575 Washington St
Watertown, NY 13601-9371
Phone (315) 779-5060
Other providers in Watertown, NY
- Alicia N Babcock
- Jessica Babcock
- Amy C. Babineau
- Nicole Backus
- Robert Dennis Bacsik
- Johnny Nelson Bailey
- Bruce L Baird
- Ritu Bajaj
- Amanda Rachel Baker
- Stephen Marc Baker
All providers in Watertown, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.