| Melanie M Bailey Lcsw Pc | |
|
520 24th Ave Sw Norman OK 73069-5106 | |
| (405) 701-5666 | |
| (405) 701-5667 |
| Full Name | Melanie M Bailey Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 520 24th Ave Sw, Norman, Oklahoma |
| Authorized Official Name and Position | Melanie M Bailey (OWNER) |
| Authorized Official Contact | 4057015666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie M Bailey Lcsw Pc 520 24th Ave Sw Norman OK 73069-5106 Ph: (405) 701-5666 | Melanie M Bailey Lcsw Pc 520 24th Ave Sw Norman OK 73069-5106 Ph: (405) 701-5666 |
| NPI Number | 1063697837 |
|---|---|
| Provider Enumeration Date | 12/29/2007 |
| Last Update Date | 03/17/2012 |
| Medicare PECOS PAC ID | 6608930730 |
|---|---|
| Medicare Enrollment ID | O20090204000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063697837 | NPI | - | NPPES |
| 100715380D | Medicaid | OK | |
| 100715380A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 220 (Oklahoma) | Primary |
| Provider Name | Melanie Marsh Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013946839 PECOS PAC ID: 8921993973 Enrollment ID: I20040218000565 |
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