Individual provider Active NPI

Lisa Marie Connolly-Bailey, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1982989752
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08257 Issued in MD
Practice address
1201 Agora Dr
Suite LB2
Bel Air, MD 21014-6859
Phone
(410) 836-7332
Fax
(410) 836-7422
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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 08257 MD Primary

Addresses

Primary practice location

1201 Agora Dr
Suite LB2
Bel Air, MD 21014-6859

Mailing address

1201 Agora Dr
Suite LB2
Bel Air, MD 21014-6859
Phone (410) 836-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20141223001198 MD Practitioner - Clinical Social Worker 7214250273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renewal Counseling Center IncGroup PAC ID 2062454747, 8 clinicians

Practice addresses (Care Compare)

9414 Belair Rd
Suite 201
Baltimore, MD 21236-1542
Phone (410) 671-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08257MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Counseling Center, Inc Clinical CurrentSince Aug 9, 2024 Accepting new patients

Locations

201 Eastern Blvd
Essex, MD 21221

9414 Belair Rd
Ste 201
Nottingham, MD 21236
Phone (410) 529-2151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1982989752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-836-7332",
            "fax_number": "410-836-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-836-7332",
            "fax_number": "410-836-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY-BAILEY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.