MEDICARE: SERENA BAILEY 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	113278	TX

General Provider Information

NPI Number	:	1790636827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENA BAILEY LMSW

Provider Business Mailing Address
First Line	:	415 SIMS DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-2299
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 HERITAGE PKWY
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-2735
Country	:	US
Telephone Number	:	817-523-8812
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ SERENA BAILEY LMSW” Practice Location

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