Dwan Bailey-Yelder, LCSW, BACS

Individual provider Active NPI Clinical Social Worker · Terrytown, LA

NPI 1942210141 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1942210141
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
7450 (LA)
Practice address
118 Terry Pkwy
Terrytown, LA 70056-2523
Phone
(504) 601-3140
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7450LAMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7450 LA Yes

Addresses

Primary practice location

118 Terry Pkwy
Terrytown, LA 70056-2523

Mailing address

4717 Freret St
New Orleans, LA 70115-6320
Phone (504) 610-3140

Other providers in Terrytown, LA

All providers in Terrytown, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.