Michele M Bailey, LCSW
Individual provider Active NPI Clinical Social Worker · Melrose Park, IL
NPI 1992840532 · NPPES record last updated Aug 17, 2009
Key facts
- NPI
- 1992840532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149006350 (IL)
- Practice address
- 1414 Main St
Melrose Park, IL 60160-3902 - Phone
- (708) 681-0073
- Fax
- (708) 681-3958
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1820 W Webster Ave
Suite 400
Chicago, IL 60614-4892
Phone (773) 245-6822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20090819000322 | IL | Practitioner - Clinical Social Worker | 6305990748 | Practice locations: Chicago, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149006350 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149006350 | IL | Yes |
Addresses
Primary practice location
1414 Main St
Melrose Park, IL 60160-3902
Mailing address
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073
Other providers in Melrose Park, IL
- Ava Women'S Health Associates, S.C.
- Admaryz B Avila
- Hema Azad
- Phanivardhan Reddy Babireddy
- Laurie Bachrach
- Shannon Bailey
- John Bajgrowicz
- Susan Calvadores Balverde
- Anoop Banathia
- Vishali Banathia
All providers in Melrose Park, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2009. 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.