Bailes, Carolyn Marie

Bailes, Carolyn Marie is an individual health care provider with primary practice located at 201 23Rd Ave North , Nashville TN 37203. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bailes, Carolyn Marie can be contacted via phone (615) 327-0833.

Contact Information

Primary practice address
201 23Rd Ave North Nashville TN 37203
Phone: (615) 327-0833
Fax: (615) 321-4157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 000793 Tennessee

Profile Details

NPI number 1396894754
LBN Legal business name Bailes, Carolyn Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396894754 NPPES
Tennessee MEDICAID 369914

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