Individual provider · Type 1 NPI

Antonina Bayly, LCSW

Clinical Social Worker · Russellville, AR

NPI number 1114852449 Active

Practice location

1001 S Arkansas Ave
Russellville, AR 72801-6732

Call (479) 567-5800 Map

Fax (479) 567-5801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11228-C (AR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114852449

Antonina Bayly, LCSW's National Provider Identifier is 1114852449, issued on Jun 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Russellville, AR. The record was last updated on Jun 17, 2026.