Michael Deshun Bailey, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008996 Issued in VA

Practice address

201 W Marshall St Apt 202
Richmond, VA 23220-3952

Phone

(804) 929-9796

NPI assigned

Nov 5, 2012

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1316291883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S 8TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072118",
            "telephone_number": "804-929-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MARSHALL ST APT 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203952",
            "telephone_number": "804-929-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071072118",
            "country_code": "US",
            "telephone_number": "804-929-9796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MICHAEL",
        "middle_name": "DESHUN",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05565400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Bailey, P.A.-C.
• Joanna H Bailey, BCBA
• Kamice T Bailey
• Lauren Martin Bailey, NP
• Melanie L. Bailey, M.ED
• Nathaniel Walton Bailey, M.D.
• Olga Bailey
• Rachel Bailey
• Shanicia Christine Bailey
• Sydia Bailey, LPC

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.