Carl Eugene Bailey in La Verne - Clinical
Carl Eugene Bailey - NPI 1699891788
Carl Eugene Bailey is a Clinical in La Verne, California. Carl Eugene Bailey practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carl Eugene Bailey is 1699891788. The last update date is 2007-07-08.
Carl Eugene Bailey's current location address is 233 Base Line Rd, La Verne, California. You can contact this provider via phone number 9095932581. The mailing address for Carl Eugene Bailey is 233 Base Line Rd, La Verne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Eugene Bailey |
|---|---|
| Address | 233 Base Line Rd, La Verne, California |
| Phone Number | 9095932581 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699891788 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 233 Base Line Rd |
|---|---|
| City | La Verne |
| State | California (CA) |
| Post Code | 917502353 |
| Phone Number | 9095932581 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 19539 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7565A | CA | OUTPATIENT MENTAL HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Carl Eugene Bailey by the Centers for Medicare & Medicaid Services?
The Carl Eugene Bailey has been assigned the NPI (National Provider Identifier) 1699891788. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carl Eugene Bailey?
The Carl Eugene Bailey is physically situated at 233 Base Line Rd, in the city of La Verne, state of CA, with the postal code 917502353.
What is the Carl Eugene Bailey's area of specialization and corresponding taxonomy classification?
The Carl Eugene Bailey's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1699891788 assigned to Carl Eugene Bailey?
The Carl Eugene Bailey was issued its 1699891788 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Carl Eugene Bailey's details last updated?
The information pertaining to the Carl Eugene Bailey, including its address, specialty, and other details, was most recently updated on 2007-07-08.