NPI 1972055168 · live from the CMS NPI Registry
Dawn Marie Bailey, MSW, LCSW
Social Worker, Clinical in Bridgeport, WV. National Provider Identifier 1972055168, active.
NPI record
| NPI | 1972055168 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 27 Trovato St Ste 103, Bridgeport, WV 26330 |
| Practice phone | 304-623-6300 |
| Mailing address | 11289 Wv Highway 47 W, Coxs Mills, WV 26342 |
| Enumerated | November 4, 2016 |
| Last updated | July 16, 2019 |
| Sole proprietor | Yes |
| Other names | Dawn Carpenter |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | CP00943855 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.