Active NPI
Bailey Whiteis
- Clinical Social Worker
- Van Buren, AR
National Provider Identifier
1518689801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1241-C
- Practice address
- 3220 N US-59
Van Buren, AR 72956 - Phone
- (479) 262-2440
- NPI assigned
- Sep 14, 2022
- Last updated
- Jun 30, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12421-M | AR | |
| Clinical Social Worker | 1041C0700X | 1241-C | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
3220 N US-59
Van Buren, AR 72956
Mailing address
4309 Elm St
Van Buren, AR 72956-9013
Phone (479) 651-6116
Other practice location 1
3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650
Other names 1
- Bailey Odom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12421-M | AR | MD | Social Worker |
| 1241-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bailey Whiteis Therapy Services LLC | Clinical | Current | Accepting new patients |
Locations
3220 N Highway 59
Van Buren, AR 72956
Phone (479) 262-2440
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.
-
- Clinical Social Worker
- Van Buren, AR
- NPI 1518856137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1518689801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 ELM ST",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729569013",
"telephone_number": "479-651-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 N US-59",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "72956",
"telephone_number": "479-262-2440"
}
],
"practiceLocations": [
{
"address_1": "3111 S 70th St",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "729035017",
"country_code": "US",
"telephone_number": "479-452-6650",
"fax_number": "479-785-9495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITEIS",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2025-06-30",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "12421-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1241-C",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "ODOM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.