Healthcare Provider Details

I. General information

NPI: 1932064524
Provider Name (Legal Business Name): BAILEY COMBS-BAKER CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W MARKET ST
LOUISVILLE KY
40202-2709
US

IV. Provider business mailing address

1434 SLATE RUN RD APT 70
NEW ALBANY IN
47150-6216
US

V. Phone/Fax

Practice location:
  • Phone: 502-324-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW00001191
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: