Individual provider Active NPI

Bailey Brown, LMSW

  • Social Worker
  • Canandaigua, NY
National Provider Identifier
1871054429
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107947 Issued in NY
Practice address
6719 County Road 32
Canandaigua, NY 14424-9389
Phone
(315) 725-8702
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107947 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6719 County Road 32
Canandaigua, NY 14424-9389

Mailing address

31 Thurber Dr
Waterloo, NY 13165-1665

Other practice location 1

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbrown@caafl.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250106003795 NY Practitioner - Clinical Social Worker 2466980305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107947NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Therapy Group, Lcsws Psychotherapy Professionals PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

280 Madison Ave
Rm 210
New York, NY 10016
Phone (646) 389-5801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1871054429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 COUNTY ROAD 32",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249389",
            "telephone_number": "315-725-8702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Thurber Dr",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "NY",
            "postal_code": "131651665",
            "country_code": "US",
            "telephone_number": "315-539-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BAILEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107947",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrown@caafl.org",
            "affiliation": "N",
            "address_1": "31 Thurber Dr",
            "city": "Waterloo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131651665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.