Individual
JASON T BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1425 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45432-2674
(937) 641-5772
(937) 641-4668
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-4000
(937) 641-4500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2304991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039579
—
OH
Enumeration date
01/06/2016
Last updated
11/20/2025
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