Healthcare Provider Details

I. General information

NPI: 1336061381
Provider Name (Legal Business Name): LIZ BAILEY, LICENSED CLINICAL SOCIAL WORKER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 BUENA VISTA RD STE 600
BAKERSFIELD CA
93311-8792
US

IV. Provider business mailing address

4605 BUENA VISTA RD STE 600
BAKERSFIELD CA
93311-8792
US

V. Phone/Fax

Practice location:
  • Phone: 661-401-8295
  • Fax:
Mailing address:
  • Phone: 661-401-8295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BAILEY
Title or Position: CEO/OWNER
Credential: LCSW
Phone: 661-401-8295