John Trevor Bailer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05980200 Issued in NJ

Practice address

2230 Route 70 W # 1033
Cherry Hill, NJ 08002-3338

Phone

(610) 931-2972

NPI assigned

May 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Trevor Bailer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• John Trevor Bailer, LCSW, LLC

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1942161674

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1962992453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 W # 1033",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023338",
            "telephone_number": "610-931-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 W # 1033",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023338",
            "telephone_number": "610-931-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILER",
        "first_name": "JOHN",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05980200",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREVOR",
            "last_name": "BAILER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Nicole Bacola
• Shane Baduini
• Ashley C Baggett, PT
• Damian Bagley
• Daniel A Baik, M.D.
• Erin Bailey
• Jennifer Lee Bailey, M.S.ED, BCBA
• Mary Bailey, LAC
• Yury Bak, D.O.
• Perry Rashiyd Bakari, LCADC

• All providers in Cherry Hill, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.