MEDICARE: SHEENA ANN BAILEY

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	S.1600704	OH
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1114571965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA ANN BAILEY

Provider Business Mailing Address
First Line	:	2000 NOBLE DR
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-5353
Country	:	US
Telephone Number	:	330-264-3232
Fax Number	:

Provider Business Practice Location Address
First Line	:	3717 PENNINGTON RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5017
Country	:	US
Telephone Number	:	216-551-7579
Fax Number	:

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

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	12/11/2025

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Directions to “ SHEENA ANN BAILEY ” Practice Location

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