Nicole M Bailey, LCSW
Individual provider Active NPI Clinical Social Worker · Chamblee, GA
NPI 1366933129 · NPPES record last updated May 28, 2018
Key facts
- NPI
- 1366933129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW004816 (GA)
- Practice address
- 3720 Chamblee Dunwoody Rd
Chamblee, GA 30341-2064 - Phone
- (404) 468-2274
- NPI assigned
- May 28, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004816 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004816 | GA | Yes |
Addresses
Primary practice location
3720 Chamblee Dunwoody Rd
Chamblee, GA 30341-2064
Mailing address
2984 Vining Ridge LN
Decatur, GA 30034-7504
Phone (404) 468-2274
Other providers in Chamblee, GA
- Athletic Development and Performance Therapy
- Atlanta Pediatric Therapy
- Atlanta Pediatric Therapy, Inc.
- Atlanta Prime Med
- Atlanta Spine and Wellness LLC
- Ariana Barnett
- Gabriela Isabel Bautista
- Kyoon Chung Begaye
- Victor Berkovich
- Brent Bertschinger
All providers in Chamblee, 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 May 28, 2018. 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.