Dawn Marie Bailey, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Bridgeport, WV
NPI 1972055168 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1972055168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CP00943855 (WV)
- Practice address
- 27 Trovato St Ste 103
Bridgeport, WV 26330-7286 - Phone
- (304) 623-6300
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- West Virginia University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minnie Hamilton Health Care Center Inc
Practice addresses (Care Compare)
921 Mineral Rd
Suite 101
Glenville, WV 26351-1342
Phone (304) 462-7322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20200123002075 | WV | Practitioner - Clinical Social Worker | 6709211519 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00943855 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnie Hamilton Health Care Center, Inc. | Current |
Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Current |
Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Past | Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Past | Accepting new patients |
Locations
376 WV Highway 5 E
Glenville, WV 26351
Phone (304) 462-7322
1491 WV Hwy 5 E Ste 1
Glenville, WV 26351
921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322
186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CP00943855 | WV | Yes |
Addresses
Primary practice location
27 Trovato St Ste 103
Bridgeport, WV 26330-7286
Mailing address
11289 WV Highway 47 W
Coxs Mills, WV 26342-8208
Phone (304) 365-7823
Other practice location 1
106 Bellview Ave
Fairmont, WV 26554-1902
Phone (304) 365-7823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972055168 | Medicaid | WV |
Other names
- Dawn Marie Carpenter
Other providers in Bridgeport, WV
- Apria Healthcare LLC
- Agnes Olga Asmar
- Associated Specialists, Inc
- Associated Specialists, Inc.
- Jessica Ayers
- James Despard Bailey Jr.
- Leah Bailey
- Madison Elise Bailey
- Naomi Bakera
- Meenal Balakrishnan
All providers in Bridgeport, WV · Clinical Social Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. 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.