Provider Demographics
NPI:1417235391
Name:BAILEY, LYNNETTE SAULS (LCSW)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:SAULS
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 N SPENCE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4354
Mailing Address - Country:US
Mailing Address - Phone:919-330-4147
Mailing Address - Fax:919-330-4142
Practice Address - Street 1:696 N SPENCE AVE STE A
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4354
Practice Address - Country:US
Practice Address - Phone:919-330-4147
Practice Address - Fax:919-330-4142
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0084061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical