Active NPI
Bailey Rashelle Hogan, MSW, LCSW
- Clinical Social Worker
- Avon, IN
National Provider Identifier
1407420888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010549A
- Practice address
- 1928 S Dan Jones Rd
Avon, IN 46123-6678 - Phone
- (317) 854-8265
- Fax
- (877) 895-7698
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 34010549A | IN | Primary |
Addresses
Primary practice location
1928 S Dan Jones Rd
Avon, IN 46123-6678
Mailing address
1928 S Dan Jones Rd
Avon, IN 46123-6678
Phone (317) 854-8265
Other practice location 1
6655 E US Highway 36
Avon, IN 46123-8923
Phone (888) 714-1927
Other names 1
- Bailey Rashelle Richey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Be Well, Inc. | Clinical | Current | Accepting new patients |
Locations
1928 S Dan Jones Rd
Avon, IN 46123
Phone (317) 709-4106
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Avon, IN
- NPI 1588361067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1407420888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 S DAN JONES RD",
"city": "AVON",
"state": "IN",
"postal_code": "461236678",
"telephone_number": "317-854-8265",
"fax_number": "877-895-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 S DAN JONES RD",
"city": "AVON",
"state": "IN",
"postal_code": "461236678",
"telephone_number": "317-854-8265",
"fax_number": "877-895-7698"
}
],
"practiceLocations": [
{
"address_1": "6655 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461238923",
"country_code": "US",
"telephone_number": "888-714-1927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "BAILEY",
"middle_name": "RASHELLE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34010549A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "RICHEY",
"middle_name": "RASHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.