Provider Demographics
NPI:1972805083
Name:YANCEY, BAILEY DEFELICE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:DEFELICE
Last Name:YANCEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:HIATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:700 19TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1927
Mailing Address - Country:US
Mailing Address - Phone:205-933-8101
Mailing Address - Fax:205-939-4576
Practice Address - Street 1:700 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1927
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:205-939-4576
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2647G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker