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

Bailey Stottrup

Individual provider Mental Health Counselor · NPI 1053967604

Bailey Stottrup is a Clinical Social Worker in Edina, Minnesota. Qualified in 2018, 8 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

6401 France Ave S
Edina, MN 55435-2104
Phone: (952) 924-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27744
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence 27744 (MN)

Record details

NPI number1053967604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2019
Last updated in NPPESSeptember 23, 2022
Certification dateJanuary 21, 2022
Mailing address6401 France Ave S, Edina, MN 55435-2104

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edina