Stephanie Jane Bailey, LCSW
Individual provider Active NPI Clinical Social Worker · Flowery Branch, GA
NPI 1366670895 · NPPES record last updated Apr 29, 2010
Key facts
- NPI
- 1366670895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW003963 (GA)
- Practice address
- 4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829 - Phone
- (678) 513-5700
- NPI assigned
- Jun 23, 2009
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003963 | GA | Yes |
Addresses
Primary practice location
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Mailing address
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone (678) 513-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I808572 | Other | GA | MEDICARE PTAN |
Other providers in Flowery Branch, GA
- Avita Community Partners
- Avita Community Partners
- Back in the Game Physical Therapy, Inc
- Bad Boy Benzo Inc.
- Catherine Bailey
- Glenda Baptiste
- Kim Daneen Barber Foss
- Keith Bardes
- Bare Foot Care Specialist, LLC
- Bryce Barrett
All providers in Flowery Branch, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2010. 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.