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Contact Information

DIANE P BAILEY, LCSW
2021 S. WAVERLY
SUITE 700
SPRINGFIELD, MO65804
 Phone: 414-569-2398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DIANE P BAILEY · (Female)

NPI Number 1134246812
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/26/2007
Last updated 12/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 000884
  • MO Medicaid 498589902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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