Individual provider Active NPI

Dawn Marie Bailey, MSW, LCSW

  • Clinical Social Worker
  • Bridgeport, WV
National Provider Identifier
1972055168
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CP00943855 Issued in WV
Practice address
27 Trovato St Ste 103
Bridgeport, WV 26330-7286
Phone
(304) 623-6300
NPI assigned
Nov 4, 2016
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CP00943855 WV Primary

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 names 1

  • Dawn Marie Carpenter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123002075 WV Practitioner - Clinical Social Worker 6709211519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

921 Mineral Rd
Suite 101
Glenville, WV 26351-1342
Phone (304) 462-7322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00943855WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Nov 2, 2019 Accepting new patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Nov 2, 2019 Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

1491 WV Hwy 5 E Ste 1
Glenville, WV 26351

376 WV Highway 5 E
Glenville, WV 26351
Phone (304) 462-7322

921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1972055168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11289 WV HIGHWAY 47 W",
            "city": "COXS MILLS",
            "state": "WV",
            "postal_code": "263428208",
            "telephone_number": "304-365-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TROVATO ST STE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263307286",
            "telephone_number": "304-623-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Bellview Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541902",
            "country_code": "US",
            "telephone_number": "304-365-7823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "CP00943855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "CARPENTER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.