Active NPI
Sara Jean Bailey, MSW, AAC, MHP
- Clinical Social Worker
- Olympia, WA
National Provider Identifier
1922587203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 505 Union Ave SE
Olympia, WA 98501-1473 - Phone
- (360) 918-7860
- Fax
- (360) 584-9265
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
505 Union Ave SE
Olympia, WA 98501-1473
Mailing address
505 Union Ave SE
Olympia, WA 98501-1473
Phone (360) 918-7860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG60867886 | Other | WA | WASHINTON STATE DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 9, 2024 through Jul 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1922587203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 UNION AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011473",
"telephone_number": "360-918-7860",
"fax_number": "360-584-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 UNION AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011473",
"telephone_number": "360-918-7860",
"fax_number": "360-584-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "SARA",
"middle_name": "JEAN",
"credential": "MSW, AAC, MHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINTON STATE DEPARTMENT OF HEALTH",
"identifier": "CG60867886",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.