Pauline Bailo, LCSW
Individual provider Active NPI Clinical Social Worker · Eatontown, NJ
NPI 1669944278 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1669944278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05831900 (NJ)
- Practice address
- 99 Corbett Way Ste 304
Eatontown, NJ 07724-4261 - Phone
- (732) 962-6306
- NPI assigned
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
99 Corbett Way
Suite 304
Eatontown, NJ 07724-4261
Phone (732) 962-6306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251209003762 | NJ | Practitioner - Clinical Social Worker | 7911491790 | Practice locations: Eatontown, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05831900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dove Counseling Services, LLC | Current |
Accepting new patients | |
| Dove Counseling Services, LLC | Clinical | Current |
Accepting new patients |
Locations
99 Corbett Way
Ste 304
Eatontown, NJ 07724
Phone (732) 962-6306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 44SC05831900 | NJ | Yes |
Addresses
Primary practice location
99 Corbett Way Ste 304
Eatontown, NJ 07724-4261
Mailing address
99 Corbett Way Ste 304
Eatontown, NJ 07724-4261
Other providers in Eatontown, NJ
- Margaret V Aulson
- Emily Ann Aviles
- Matt Bach
- Marc Joseph Bader
- Nadeem Baig
- Megha Banerjee
- Susanne Baran
- Valkiria D Barbosa Bezerra
- Justine Barnao
- Paul W Barnickel
All providers in Eatontown, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.