Individual provider Active NPI

Bailey Greene

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1407577646
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
139610 Issued in CA
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

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110216CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc CurrentSince Sep 11, 2022 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.

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

Verify at the official NPI Registry.