Individual provider Active NPI

Loretta Baker, LCSW

  • Clinical Social Worker
  • Fordland, MO
National Provider Identifier
1023210911
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2003017994 Issued in MO
Practice address
1059 Barton Dr
Fordland, MO 65652-7350
Phone
(417) 767-2273
Fax
(417) 767-4054
NPI assigned
Jun 3, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2003017994 MO Primary

Addresses

Primary practice location

1059 Barton Dr
Fordland, MO 65652-7350

Mailing address

1059 Barton Dr
Fordland, MO 65652-7350
Phone (417) 767-2273

Other names 1

  • Loretta Baker-Montgomery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926000775 MO Practitioner - Clinical Social Worker 3072737063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Big Springs Medical AssociationGroup PAC ID 6709871007, 53 clinicians

Practice addresses (Care Compare)

10304 Bust Subdivision Rd
Potosi, MO 63664-8361
Phone (323) 205-7088

17959 Main St
Eminence, MO 65466-6375
Phone (573) 226-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Big Springs Medical Association Current Accepting new patients
Fordland Clinic, Inc. CurrentSince Apr 20, 2026 Accepting new patients
Fordland Clinic, Inc. CurrentSince Apr 20, 2026 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Big Springs Medical Association CurrentSince Oct 23, 2019 Accepting new patients
Big Springs Medical Association CurrentSince Oct 23, 2019 Accepting new patients

Locations

202 Allen St
Annapolis, MO 63620
Phone (573) 598-4213

109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136

109 Plum St
Doniphan, MO 63935
Phone (573) 776-2136

109 Plum St
Ste B
Doniphan, MO 63935
Phone (573) 351-0220

3277 US Highway 160 W
Doniphan, MO 63935
Phone (573) 804-9527

61 Highway Y
Ellington, MO 63638
Phone (573) 663-2525

1059 Barton Dr
Fordland, MO 65652
Phone (417) 767-2100

11863 State Highway 13
Ste 1
Kimberling City, MO 65686
Phone (417) 739-2520

1 Hals Plz
Piedmont, MO 63957
Phone (573) 223-4800

2210 Barron Rd
Ste 120
Poplar Bluff, MO 63901
Phone (573) 785-2005

2879 James Blvd
Poplar Bluff, MO 63901
Phone (573) 609-8800

18 Viburnum Center Rd
Viburnum, MO 65566
Phone (573) 244-5406

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: loretta.baker-montgomery.1@14422.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1023210911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LORETTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003017994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "BAKER-MONTGOMERY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fordland, MO

Sources for this page

Verify at the official NPI Registry.