Ms. Ilene Lillian Bayer
Clinical Social Worker
119-A N. Crutchfield Street
Dobson
, North Carolina 27017-1022
Ms. Ilene Lillian Bayer
Clinical Social Worker
119-A N. Crutchfield Street
Dobson
, North Carolina 27017-1022
(336) 443-4092
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Ilene Lillian Bayer
- Po Box 1022 119-A N. Crutchfield Street
- Dobson, NC
- Zip : 27017-1022
- Fax : (336) 443-4092
- Phone : (336) 443-4116
Second Address
- Ms. Ilene Lillian Bayer
- 119-A N. Crutchfield Street
- Dobson, NC
- Zip : 27017-1022
- Fax : (336) 443-4092
- Phone : (336) 443-4116
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Is Ms. Ilene Lillian Bayer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | C007611 | NC |
National Provider Identifier
| NPI | 1003187089 |
|---|---|
| Provider Name | Ms. Ilene Lillian Bayer |
| First Address | Dobson, NC 27017-1022 |
| Second Address | Dobson, NC 27017-1022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2012 |
| Last Update Date | 23/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12388384 | CAQH (01) | NC |
| 6007433 | (05) | NC |
| Q39633A | MEDICARE PTAN (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.