Healthcare Provider Details

I. General information

NPI: 1033727102
Provider Name (Legal Business Name): BAILEY BAIN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SPRINGDALE DR
EXTON PA
19341-2843
US

IV. Provider business mailing address

211 MONTPELIER DR
DOWNINGTOWN PA
19335-1287
US

V. Phone/Fax

Practice location:
  • Phone: 484-565-1130
  • Fax:
Mailing address:
  • Phone: 484-631-6475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW024011
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW137725
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: