Mark Bailes, MSW, LCSW, BCD

Primary specialty

Social WorkerTaxonomy code 104100000X

License

209 Issued in NC

Practice address

1502 W NC Highway 54
Suite 603
Durham, NC 27707-5571

Phone

(919) 419-3110

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 22, 2015 through Jun 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Betsy Pedersen PHD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durham, NC
  • NPI 1346665882
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609928431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54",
            "address_2": "SUITE 603",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075571",
            "telephone_number": "919-419-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54",
            "address_2": "SUITE 603",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075571",
            "telephone_number": "919-419-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILES",
        "first_name": "MARK",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "209",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HELATH NETWORK",
            "identifier": "M-101843",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "12658",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanisha Bagley
• Carleen Bagnall
• Tristram D Bahnson, MD
• Jane Lupton Bahor, CCA/ANAPLASTOLOGIST
• Bahar Bahrani, MD
• Sarah Bailes, MSW, LCSW
• Bailey Cole Psychological Services
• Adija D Bailey, PA-C
• Heatherlee Bailey, MD
• James Eric Bailey

• Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.