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NPI Code Detail

MEDICARE: TALAHIA BAILEY LCSW-A

MEDICARE: TALAHIA BAILEY LCSW-A
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 WorkerP019056NC

General Provider Information

NPI Number : 1134959505
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALAHIA BAILEY LCSW-A
Provider Business Mailing Address
First Line : 3000 CHESTNUT GROVE LN APT 3204
Second Line :
City : MATTHEWS
State : NC
Zip : 28104-8775
Country : US
Telephone Number : 252-214-9120
Fax Number :
Provider Business Practice Location Address
First Line : 175 W FRANKLIN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4145
Country : US
Telephone Number : 704-865-3525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2024
Last Update Date : 12/08/2025

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Directions to “ TALAHIA BAILEY LCSW-A” Practice Location

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