Provider Demographics
NPI:1164036133
Name:BAILEY, DOROTHY CAROL (DSW, LICSW, PIP)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:CAROL
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DSW, LICSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-2019
Mailing Address - Country:US
Mailing Address - Phone:205-259-9924
Mailing Address - Fax:
Practice Address - Street 1:228 SHELBY FARMS BND
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-5076
Practice Address - Country:US
Practice Address - Phone:205-259-9924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3912C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical