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

Mr. Jeremy David Bailey, LCSW

Individual provider Clinical Social Worker · NPI 1184082109

Mr. Jeremy David Bailey, LCSW is a Clinical Social Worker in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
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

120 D St
Santa Rosa, CA 95404-4732
Phone: (707) 360-0977
Fax: (510) 756-0812
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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 102807 (CA)

Record details

NPI number1184082109
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 4, 2016
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

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