Individual provider Active NPI

Gary Bernard Bailey, MA, MSW, PH.D., LCSW

  • Clinical Social Worker
  • Burlington, NC
National Provider Identifier
1720031016
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000300 Issued in NC
Practice address
291 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone
(336) 228-0793
Fax
(877) 227-0793
NPI assigned
May 18, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 129 NC
Health Service Psychologist 103TH0100X 38595 NC
Clinical Social Worker 1041C0700X 0904 002803 VA
Clinical Social Worker 1041C0700X C000300 NC Primary

Addresses

Primary practice location

291 N Graham Hopedale Rd
Burlington, NC 27217-2971

Mailing address

291 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 228-0793

Other identifiers 1

IdentifierTypeStateIssuer
6002358MedicaidNC

Other names 1

  • Alamance Eap, LLC Life Works Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gary.bailey@alamancelifeworks.com Health Information Exchange (HIE) Alamance Life Works EAP, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040715001102 NC Practitioner - Clinical Social Worker 3577542315 Reassigns benefits to 1 organization
Practice locations: Burlington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

291 N Graham Hopedale Rd
Burlington, NC 27217-2971

291 N Graham-Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 228-0793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38595NCMDHealth Service Psychologist
C000300NCMDClinical Social Worker
0904 002803VAMDClinical Social Worker
129NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 3, 2024 Accepting new patients
Alamance Life Works Eap, PLLC Clinical PastSince Mar 20, 2022 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1720031016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-228-0793",
            "fax_number": "877-227-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-228-0793",
            "fax_number": "877-227-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "GARY",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MA, MSW, PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "129",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "38595",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904 002803",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002358",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.bailey@alamancelifeworks.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Alamance Life Works EAP, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "291 N Graham Hopedale Rd",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272172971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALAMANCE",
            "last_name": "LIFE WORKS",
            "middle_name": "EAP, LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.