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NPI Code Detail

MEDICARE: MRS. COURTNEY ALICIA BAILEY

MEDICARE: MRS. COURTNEY ALICIA 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
1104100000XSocial WorkerS.2504573-TRNEOH
2104100000XSocial WorkerS.2513297OH
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1487489621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COURTNEY ALICIA BAILEY
Provider Business Mailing Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number : 330-345-8970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 12/30/2025

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Directions to “ MRS. COURTNEY ALICIA BAILEY ” Practice Location

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