India Avery Bailey, is a
Social Worker - Clinical based in New Haven, Connecticut. India Avery Bailey is licensed to practice in * (Not Available) (license number ) and her current practice location is
458 Grand Ave, New Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 752-1212.
NPI number for India Avery Bailey is 1407595556 and her current mailing address is 109 Coleman St Apt F8, West Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407595556.
Healthcare Provider's Profile
| Full Name | India Avery Bailey |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 458 Grand Ave, New Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407595556
- Provider Enumeration Date: 05/27/2022
- Last Update Date: 05/27/2022
Medical Identifiers
Medical identifiers for India Avery Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407595556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. India Avery Bailey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
India Avery Bailey,
109 Coleman St Apt F8,
West Haven, CT 06516-3245
Ph: (203) 691-0146 | India Avery Bailey,
458 Grand Ave,
New Haven, CT 06513-3856
Ph: (203) 752-1212 |
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