John Trevor Bailer, LCSW
Social Worker, Clinical in Cherry Hill, NJ. Individual provider (NPI-1).
NPI number1962992453
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1962992453
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Trevor Bailer
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2018
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05980200 | NJ | Yes |
| 104100000X | Social Worker | SW134345 | PA |
Other names
- Trevor Bailer (Other Name)
Practice location
2230 Route 70 W # 1033Cherry Hill, NJ 08002-3338
Phone 610-931-2972
Mailing address
2230 Route 70 W # 1033Cherry Hill, NJ 08002-3338
Phone 610-931-2972
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