Provider Demographics
NPI:1407421084
Name:SADLER, BAILEY (LMSW)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:SADLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 PAINE ST STE D
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-2411
Mailing Address - Country:US
Mailing Address - Phone:563-382-1900
Mailing Address - Fax:563-382-1777
Practice Address - Street 1:1111 PAINE ST STE D
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-2411
Practice Address - Country:US
Practice Address - Phone:563-382-1900
Practice Address - Fax:563-382-1777
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1074341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical