MEDICARE: DR. JAMES WOODROW BAILEY PHD, LCSWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	60118	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60118	OTHER	TX	TEXAS STATE BOARD OF LICENSED SOCIAL WORKER EXAMINERS

General Provider Information

NPI Number	:	1104314632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WOODROW BAILEY PHD, LCSWS

Provider Business Mailing Address
First Line	:	2706 LAKE VILLA DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7650
Country	:	US
Telephone Number	:	346-341-7971
Fax Number	:

Provider Business Practice Location Address
First Line	:	2706 LAKE VILLA DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7650
Country	:	US
Telephone Number	:	281-782-1641
Fax Number	:	281-969-7259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	03/01/2022

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