Individual provider Active NPI

Bailey Lynn Crist, LLMSW

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1689339152
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1108 W Washington St Ste C
Marquette, MI 49855-4076
Phone
(906) 256-2951
Fax
(906) 629-6334
NPI assigned
Nov 1, 2021
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 Primary

Addresses

Primary practice location

1108 W Washington St Ste C
Marquette, MI 49855-4076

Mailing address

1108 W Washington St Ste C
Marquette, MI 49855-4076
Phone (906) 256-2951

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caught Dreamin' Therapy, LLC Clinical CurrentSince Dec 3, 2023 Accepting new patients
Great Lakes Recovery Centers PastSince Nov 1, 2021 Accepting new patients
Great Lakes Recovery Centers PastSince Nov 1, 2021 Accepting new patients

Locations

1025 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 256-2951

1108 W Washington St
Ste C
Marquette, MI 49855
Phone (906) 256-2951

Organizations & group practices 3

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1689339152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W WASHINGTON ST STE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554076",
            "telephone_number": "906-256-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W WASHINGTON ST STE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554076",
            "telephone_number": "906-256-2951",
            "fax_number": "906-629-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "BAILEY",
        "middle_name": "LYNN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.