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MR. JEREMY DAVID BAILEY LCSW
NPI 1184082109
Social Worker - Clinical in Santa Rosa, CA

Active since February 04, 2016
120 D ST, SANTA ROSA, CA 95404(707) 360-0977(510) 756-0812 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2021, Feb 4, 2016 (2 updates tracked since 2016).

About Mr. Jeremy David Bailey Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEREMY DAVID BAILEY LCSW (NPI 1184082109) is an individual clinical provider in Santa Rosa, California, licensed in California (102807) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1184082109
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEREMY DAVID BAILEYCredential: LCSW
Location Address120 D STSanta Rosa, CA 95404-4732
Mailing Address781 Hoen CtSanta Rosa, CA 95405-6720 · (415) 336-8935
Phone(707) 360-0977
Fax(510) 756-0812
Sole ProprietorYes
Enumeration DateFebruary 4, 2016
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1184082109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 102807
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
120 D ST, Santa Rosa, CA 95404
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Bailey's NPI number?

The NPI number for Jeremy Bailey is 1184082109. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Jeremy Bailey located?

Jeremy Bailey practices at 120 D St, Santa Rosa, CA 95404. The listed phone number is (707) 360-0977.

What is Jeremy Bailey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jeremy Bailey was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.