Provider Demographics
NPI:1144602947
Name:RINALDI, BAILEY (LCSW)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:RINALDI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 E 2225 S
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-2123
Mailing Address - Country:US
Mailing Address - Phone:801-643-4639
Mailing Address - Fax:
Practice Address - Street 1:377 MARSHALL WAY STE 1B
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5530
Practice Address - Country:US
Practice Address - Phone:801-643-6439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9404346-3503104100000X
UT9404346-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker