Active NPI
Betsy Jane Baile, MSSW,QCSW,LCSW
- Clinical Social Worker
- Wahiawa, HI
National Provider Identifier
1326182825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 3086
- Practice address
- 319A N Cane St
Wahiawa, HI 96786-2109 - Phone
- (808) 621-1820
- Fax
- (808) 621-0540
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 3086 | HI | Primary |
Addresses
Primary practice location
319A N Cane St
Wahiawa, HI 96786-2109
Mailing address
319A N Cane St
Wahiawa, HI 96786-2109
Phone (808) 621-1820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541153 01 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 3086 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326182825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319A N CANE ST",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862109",
"telephone_number": "808-621-1820",
"fax_number": "808-621-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319A N CANE ST",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862109",
"telephone_number": "808-621-1820",
"fax_number": "808-621-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILE",
"first_name": "BETSY",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "MSSW,QCSW,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW 3086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541153 01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wahiawa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.