Healthcare Provider Details

I. General information

NPI: 1760904825
Provider Name (Legal Business Name): BAILEY MORGAN MEADE MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 SW 320TH ST
FEDERAL WAY WA
98023-2292
US

IV. Provider business mailing address

3430 SW 320TH ST
FEDERAL WAY WA
98023-2292
US

V. Phone/Fax

Practice location:
  • Phone: 253-289-6099
  • Fax: 253-231-7251
Mailing address:
  • Phone: 253-289-6099
  • Fax: 253-231-7251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61675610
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: