MEDICARE: BAILEY REID LMSW

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
1	104100000X	Social Worker	109674	TX

General Provider Information

NPI Number	:	1639978042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY REID LMSW

Provider Business Mailing Address
First Line	:	14760 BLANCO BISTRO ST
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-2806
Country	:	US
Telephone Number	:	214-762-7362
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 S LAKE FOREST DR STE 425
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2193
Country	:	US
Telephone Number	:	469-294-9075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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Directions to “ BAILEY REID LMSW” Practice Location

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