Individual provider Active NPI

Bailey Jo Griffin, LMSW, CSW INTERN

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1487226155
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-1756 Issued in NV
Practice address
119 E Long St
Carson City, NV 89706-2505
Phone
(775) 461-0025
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
Clinical Social Worker 1041C0700X IC-1756 NV Primary

Addresses

Primary practice location

119 E Long St
Carson City, NV 89706-2505

Mailing address

119 E Long St
Carson City, NV 89706-2505
Phone (775) 461-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220127002880 NV Practitioner - Clinical Social Worker 2961894704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality UnlimitedGroup PAC ID 4688095078, 6 clinicians

Practice addresses (Care Compare)

215 Bluffs Ave
Suite 200
Elko, NV 89801-2465
Phone (775) 777-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-1756NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Jan 1, 2022 Accepting new patients
Vitality Unlimited CurrentSince Feb 23, 2025 Accepting new patients
Vitality Unlimited Current Accepting new patients
Vitality Unlimited PastSince Jan 1, 2024 Accepting new patients

Locations

119 E Long St
Carson City, NV 89706
Phone (775) 461-0025

900 E Long St
Ste 201
Carson City, NV 89706
Phone (725) 461-0025

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

Organizations & group practices 4

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": "1487226155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E LONG ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062505",
            "telephone_number": "775-461-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E LONG ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062505",
            "telephone_number": "775-461-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "BAILEY",
        "middle_name": "JO",
        "credential": "LMSW, CSW INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.