Megan Yvonne Bailey Bruce

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW107498 Issued in CA

Practice address

768 McDonell Dr
South San Francisco, CA 94080-5857

Phone

(408) 805-4385

Fax

(408) 998-1535

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Megan Yvonne Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2024 through Jan 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1811398530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NOOR AVE #1114",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805857",
            "telephone_number": "408-805-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 MCDONELL DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805857",
            "telephone_number": "408-805-4385",
            "fax_number": "408-998-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "MEGAN",
        "middle_name": "YVONNE BAILEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW107498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BAILEY",
            "middle_name": "YVONNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Bridger
• William Patrick Brimmer
• Isabella Brink, MS, LCGC
• Carolyn Anne Brooks
• Brandi M. Brown, NP
• Natalia Bruchanski-Gallagher, MD
• Ann Marie Brumbeloe, RBT
• Richard Buchikos Jr.
• Jaia Bumagat
• Lakenya Burke-Ray

• Clinical Social Worker in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.