Active NPI
Bailey Greene
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1407577646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 139610
- Practice address
- 11590 W Bernardo CT Ste 120
San Diego, CA 92127-1624 - Phone
- (619) 733-6414
- NPI assigned
- Sep 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 139610 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 110216 | CA |
Addresses
Primary practice location
11590 W Bernardo CT Ste 120
San Diego, CA 92127-1624
Mailing address
7917 Ostrow St Ste a
San Diego, CA 92111-3604
Other practice location 1
7917 Ostrow St Ste A
San Diego, CA 92111-3604
Phone (858) 300-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110216 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Current | Accepting new patients |
Locations
7917 Ostrow St
Ste A
San Diego, CA 92111
Phone (858) 300-8282
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1689897100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1407577646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7917 OSTROW ST STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11590 W BERNARDO CT STE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271624",
"telephone_number": "619-733-6414"
}
],
"practiceLocations": [
{
"address_1": "7917 Ostrow St Ste A",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921113604",
"country_code": "US",
"telephone_number": "858-300-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "139610",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "110216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.