Provider Demographics
NPI:1922815414
Name:BAILEY, ELLEN MURER (LCSW)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MURER
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 1:360 SADLER ROW, #205
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-9074
Mailing Address - Country:US
Mailing Address - Phone:317-372-7994
Mailing Address - Fax:
Practice Address - Street 1:360 SADLER ROW APT 205
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-9828
Practice Address - Country:US
Practice Address - Phone:317-372-7994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006835A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical