Karen Fabian Bailly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05524400 Issued in NJ

Practice address

285 E Main St
Somerville, NJ 08876-3005

Phone

(908) 707-0212

Fax

(908) 707-8498

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Therapy & Counseling Services, LLC

  • Clinical Social Worker
  • East Brunswick, NJ
  • NPI 1487887915
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1962992073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 WESTOVER RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366029",
            "telephone_number": "908-463-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763005",
            "telephone_number": "908-707-0212",
            "fax_number": "908-707-8498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Amboy Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088373579",
            "country_code": "US",
            "telephone_number": "732-254-0600",
            "fax_number": "732-254-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABIAN BAILLY",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05524400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Adebayo Eniola, MD
• Paul Erba Jr.
• Everas Community Services, Inc.
• Gregory G Ewing, PA
• Latoya Louise Ewing, MSW, LSW
• Faculty Family Practice at Somerset, LLC
• Ingrid Taina Falls, MD
• Lisa Fama
• Family Vision Center, Inc.
• Matthew Arian Farag, DPT

• Clinical Social Worker in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.