Provider Demographics
NPI:1326404666
Name:BAILEY, NANCY R (CAADC, CCDP/D)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:R
Last Name:BAILEY
Suffix:
Gender:F
Credentials:CAADC, CCDP/D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 SHERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-1360
Mailing Address - Country:US
Mailing Address - Phone:928-231-7690
Mailing Address - Fax:
Practice Address - Street 1:508 SHERWOOD ST
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-1360
Practice Address - Country:US
Practice Address - Phone:928-231-7690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6501101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health