Marcyline Lucious Bailey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002201 Issued in GA

Practice address

11 Trade St 107
Brunswick, GA 31525-1914

Phone

(912) 217-6742

Fax

(912) 480-9697

NPI assigned

May 19, 2012

Last updated

Dec 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449360000000",
    "number": "1821358276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHERRYWOOD CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315258590",
            "telephone_number": "912-270-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TRADE ST 107",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251914",
            "telephone_number": "912-217-6742",
            "fax_number": "912-480-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARCYLINE",
        "middle_name": "LUCIOUS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2015-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truett Auten, CRNA
• Ayman Al-Jabi MD PC
• Shenon E Badre, M.D.
• Sergey Bagan, PHARM D
• Gary Brandon Bailey Jr., PHARM D
• Maxine Samone Bailey
• Timothy Anthony Baker Sr.
• Raytillia R. Balam, MASTER BARBER & COSM
• Nathan A Ball, NP
• Jessica Lynn Bankston, PHARMD

• Clinical Social Worker in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.