Individual provider Active NPI

Katelyn Bayley, LMSW

  • Social Worker
  • Clanton, AL
National Provider Identifier
1447822127
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5089G Issued in AL
Practice address
603 2ND Ave N # PO
Clanton, AL 35045-3422
Phone
(205) 755-4205
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5089G AL Primary

Addresses

Primary practice location

603 2ND Ave N # PO
Clanton, AL 35045-3422

Mailing address

603 2ND Ave N
Clanton, AL 35045-3422
Phone (205) 755-4205

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Clanton

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313001882 AL Practitioner - Clinical Social Worker 7315469814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Health Services, LLCGroup PAC ID 0648503615, 8 clinicians

Practice addresses (Care Compare)

9064 Helena Rd
Pelham, AL 35124-2737
Phone (205) 644-1166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5089GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Services, LLC CurrentSince Jan 9, 2025 Accepting new patients

Locations

9064 Helena Rd
Pelham, AL 35124
Phone (205) 644-1166

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1447822127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 2ND AVE N",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453422",
            "telephone_number": "205-755-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 2ND AVE N # PO",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453422",
            "telephone_number": "205-755-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLEY",
        "first_name": "KATELYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "5089G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clanton",
            "affiliation": "N",
            "address_1": "603 2nd Ave N # Po",
            "city": "Clanton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350453422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.