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NPI Code Detail

MEDICARE: JILLIAN BAILEY LCSW

MEDICARE: JILLIAN BAILEY LCSW
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
11041C0700XClinical Social WorkerCSW.09929785CO

General Provider Information

NPI Number : 1932794153
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN BAILEY LCSW
Provider Business Mailing Address
First Line : 3060 N ACADEMY BLVD STE 300
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5349
Country : US
Telephone Number : 719-828-5560
Fax Number :
Provider Business Practice Location Address
First Line : 3060 N ACADEMY BLVD STE 300
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5349
Country : US
Telephone Number : 719-828-5560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2021
Last Update Date : 01/07/2025

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Directions to “ JILLIAN BAILEY LCSW” Practice Location

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