Monica Bailey, LCSW

Individual provider Active NPI Clinical Social Worker · Texarkana, TX

NPI 1609545789 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1609545789
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
11223-C (AR)
Practice address
7101 University Ave # Bass234
Texarkana, TX 75503-0597
Phone
(903) 913-8688
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11223-CARMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11223-C AR Yes

Addresses

Primary practice location

7101 University Ave # Bass234
Texarkana, TX 75503-0597

Mailing address

PO Box 653
Nash, TX 75569-0653
Phone (903) 913-8688

Other providers in Texarkana, TX

All providers in Texarkana, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.