Provider Demographics
NPI:1871316554
Name:BAILEY, CLAIRE ROYALS (LMSW, LSSW)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:ROYALS
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMSW, LSSW
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:ROYALS
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, LSSW
Mailing Address - Street 1:337 NEW BRICK CHURCH PIKE
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1581
Mailing Address - Country:US
Mailing Address - Phone:919-428-5613
Mailing Address - Fax:
Practice Address - Street 1:108 NOKES DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3507
Practice Address - Country:US
Practice Address - Phone:615-348-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0007267721041S0200X
TNLSW00000138681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool