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NPI Code Detail

MEDICARE: VICTORIA ELIZABETH BAILEY LCSW

MEDICARE: VICTORIA ELIZABETH BAILEY LCSW
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 Worker64841TX

General Provider Information

NPI Number : 1346918539
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ELIZABETH BAILEY LCSW
Provider Business Mailing Address
First Line : 2315 TOWN LAKE CIR APT 311
Second Line :
City : AUSTIN
State : TX
Zip : 78741-3064
Country : US
Telephone Number : 575-791-8462
Fax Number :
Provider Business Practice Location Address
First Line : 10816 CROWN COLONY DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78747-1639
Country : US
Telephone Number : 512-601-5856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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Directions to “ VICTORIA ELIZABETH BAILEY LCSW” Practice Location

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