Mary-Elizabeth Bailey, LCSW
Individual provider Active NPI Clinical Social Worker · Norwich, CT
NPI 1952153298 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1952153298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14132 (CT)
- Practice address
- 47 Town St
Norwich, CT 06360-2323 - Phone
- (860) 884-5174
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harvest Healthcare LLC
Practice addresses (Care Compare)
21 Waterville Rd
Avon, CT 06001-2097
Phone (860) 284-0182
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260228000262 | CT | Practitioner - Clinical Social Worker | 7618459520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14132 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Healthcare LLC | Clinical | Current |
Accepting new patients |
| Waterford Country School, Inc. | Past |
Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4364 | CT | |
| Clinical Social Worker | 1041C0700X | 14132 | CT | Yes |
Addresses
Primary practice location
47 Town St
Norwich, CT 06360-2323
Mailing address
78 Hunts Brook Rd
Quaker Hill, CT 06375-1000
Phone (860) 442-9454
Other providers in Norwich, CT
- Luis A. Avalos
- Yolanda Catherine Avery
- Zain Azam
- Kaitlyn Elizabeth Babin
- Backus Physician Services, LLC
- Tricia Bailey
- Jagjit Bains
- Sylvia Adrienne Baird
- Priya Bakaya
- Terry Baksh
All providers in Norwich, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.