| Organization Name: | ILENE LILLIAN BAYER LCSW PLLC |
| NPI Number: | 1205269206 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ILENE LILLIAN BAYER (SOLE PRACTITIONER) |
| Mailing Address: | 119 N Crutchfield St Dobson |
| State: | NC US |
| Postal Code: | 270178804 |
| Phone Number: | 3364434116 |
| Fax Number: | 3364434092 |
| NPI Enumeration Date: | 08/13/2013 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C00761 |
| 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 |