Provider Demographics
NPI:1710284161
Name:BAILEY, RONETTE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RONETTE
Middle Name:MARIE
Last Name:BAILEY
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:PO BOX 20626
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-0320
Mailing Address - Country:US
Mailing Address - Phone:931-553-6981
Mailing Address - Fax:931-553-6982
Practice Address - Street 1:917 TINY TOWN RD
Practice Address - Street 2:SUITE D
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7662
Practice Address - Country:US
Practice Address - Phone:931-237-8013
Practice Address - Fax:931-553-6982
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000053621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical