Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abby Bailly, MSW, LCSW

Individual provider Mental Health Counselor · NPI 1417789736

Abby Bailly, MSW, LCSW is a Clinical Social Worker in Tempe, Arizona. Qualified in 2019, 7 years ago. Practices with Aj Southwest Ventures Inc, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone: (480) 808-3672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1923 N Bellview, Mesa, AZ 85203-9600 — (480) 648-7000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-22474 (AZ)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417789736
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Aj Southwest Ventures Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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