Individual provider Active NPI

Bailey Saal, LISW

  • Clinical Social Worker
  • Indianola, IA
National Provider Identifier
1902138076
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7063 Issued in IA
Practice address
1202 E 2ND Ave
Indianola, IA 50125-2802
Phone
(515) 961-2400
Fax
(515) 961-7369
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 007063 IA
Clinical Social Worker 1041C0700X 7063 IA Primary

Addresses

Primary practice location

1202 E 2ND Ave
Indianola, IA 50125-2802

Mailing address

1202 E 2ND Ave
Indianola, IA 50125-2802
Phone (515) 961-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7063IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1902138076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252802",
            "telephone_number": "515-961-2400",
            "fax_number": "515-961-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252802",
            "telephone_number": "515-961-2400",
            "fax_number": "515-961-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAL",
        "first_name": "BAILEY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IA",
            "license": "007063",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "7063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.