Individual provider · Type 1 NPI

Alyza D. Bailey, LCSW

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1730747320 Active

Practice location

1500 Route 112 Bldg 4, SUITE101
Port Jefferson Station, NY 11776

Call (631) 574-8354 Map

Mailing address

31 Sparrow Dr
Coram, NY 11727-2715

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X096940 (NY)
Clinical Social Worker Primary 1041C0700X094350 (NY)

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 1730747320

Alyza D. Bailey, LCSW's National Provider Identifier is 1730747320, issued on May 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 5, 2025.