Heather Melissa Leaf Bailey

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

599 SW Indian Key Dr
Port St Lucie, FL 34986-2053

Phone

(772) 475-0196

NPI assigned

Dec 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1962748582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 SW INDIAN KEY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862053",
            "telephone_number": "772-475-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SW INDIAN KEY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862053",
            "telephone_number": "772-475-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAF BAILEY",
        "first_name": "HEATHER",
        "middle_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.leaf-bailey@sequelyouthservices.com",
            "affiliation": "N",
            "address_1": "599 SW Indian Key Dr",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349862053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.