| Doctor Name: | MS. ILENE LILLIAN BAYER |
| NPI Number: | 1003187089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C007611 |
| Business Practice Address: | 119-a N. Crutchfield Street Dobson, NC - 270171022 |
| Business Phone Number: | 3364434116 |
| Business Fax Number: | 3364434092 |
| Mailing Address: | Po Box 1022, 119-a N. Crutchfield Street DOBSON |
| State: | NC |
| Postal Code: | 270171022 |
| Phone Number: | 3364434116 |
| Fax Number: | 3364434092 |
| NPI Enumeration Date: | 01/23/2012 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C007611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |