Individual provider Active NPI

Theresa Bayley

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1689994030
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28389 Issued in TX
Practice address
1615 W Abram St
Arlington, TX 76013
Phone
(214) 498-5369
NPI assigned
Jun 8, 2010
Last updated
Jul 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2018

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 28389 TX Primary

Addresses

Primary practice location

1615 W Abram St
Arlington, TX 76013

Mailing address

1033 E Secretariat Dr
Terrell, TX 75160-7575
Phone (214) 498-5369

Other names 1

  • Theresa Williamson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020002817 TX Practitioner - Clinical Social Worker 5698041531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1615 W Abram St
Arlington, TX 76013-1788
Phone (214) 498-5369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28389TXMDProsthodontist

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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530403200000",
    "number": "1689994030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 E SECRETARIAT DR",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751607575",
            "telephone_number": "214-498-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W ABRAM ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76013",
            "telephone_number": "214-498-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLEY",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "WILLIAMSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.