MARK BAILES MSW, LCSW, BCD
NPI 1609928431
Social Worker in Durham, NC

Active since January 18, 2007Opted out of Medicare · through Jun 22, 2027
1502 W NC HIGHWAY 54, SUITE 603, DURHAM, NC 27707(919) 419-3110 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Bailes Msw, Lcsw, Bcd NPPES

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

MARK BAILES MSW, LCSW, BCD (NPI 1609928431) is an individual social worker in Durham, North Carolina, licensed in North Carolina (209) and active in the NPI registry since January 2007. He has opted out of Medicare through June 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609928431
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMARK BAILESCredential: MSW, LCSW, BCD
Location Address1502 W NC HIGHWAY 54, SUITE 603Durham, NC 27707-5571
Mailing Address1502 W Nc Highway 54, Suite 603Durham, NC 27707-5571 · (919) 419-3110
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1609928431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NC · 209
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 209 (NC)
1502 W NC HIGHWAY 54, Durham, NC 27707

Other Identifiers 2

OtherM-101843NC · Managed Helath Network
Other12658NC · Blue Cross Blue Shield Nc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mark Bailes Msw, Lcsw, Bcd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2015 through June 22, 2027.

Opt-Out Effective DateJune 22, 2015
Opt-Out In Effect ThroughJune 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1502 W NC HIGHWAY 54, SUITE 103
DURHAM, NC 27707
Psychologist (Counseling)
1502 W NC HIGHWAY 54, SUITE 505
DURHAM, NC 27707
Psychiatry & Neurology (Psychiatry)
1502 W NC HIGHWAY 54, SUITE 103
DURHAM, NC 27707
Social Worker (Clinical)
1502 W NC HIGHWAY 54, SUITE 103
DURHAM, NC 27707
Social Worker (Clinical)
1502 W NC HIGHWAY 54, SUITE 103
DURHAM, NC 27707
Psychologist (Clinical)
1502 W NC HIGHWAY 54, SUITE 302
DURHAM, NC 27707
Psychologist
1502 W NC HIGHWAY 54, SUITE 603
DURHAM, NC 27707
Psychologist (Clinical)
1502 W NC HIGHWAY 54, SUITE 603
DURHAM, NC 27707

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 Mark Bailes's NPI number?

The NPI number for Mark Bailes is 1609928431. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Mark Bailes located?

Mark Bailes practices at 1502 W Nc Highway 54 Suite 603, Durham, NC 27707. The listed phone number is (919) 419-3110.

What is Mark Bailes's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mark Bailes enrolled in Medicare?

No. Mark Bailes has opted out of Medicare through June 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Bailes was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.