Amy Nicole Bailey, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090165 Issued in MI

Practice address

959 Lake Dr SE
Suite 6
Grand Rapids, MI 49506-1447

Phone

(616) 326-1630

NPI assigned

Oct 8, 2014

Last updated

May 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Nicole Venard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1427451137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 CADDO AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182436",
            "telephone_number": "616-326-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LAKE DR SE",
            "address_2": "SUITE 6",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061447",
            "telephone_number": "616-326-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VENARD",
            "middle_name": "NICOLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James K Baguley, M.D.
• William Adam Baguley, M.D.
• Aaron Bahr
• Cameron S Bahring
• Nolan Joseph Bailen
• Ayanna Bailey
• Cathy Ann Bailey, LMSW
• Connor Bailey
• Cynthia Marie Bailey, FNP-C
• Emily Jane-Taylor Bailey, MSW, LMSW

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.