Organization Active NPI

KS Baker Therapeutic Services, LLC

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1023510807
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KS BAKER THERAPEUTIC SERVICES, LLC
Practice address
120 N Huron St Unit 1
Ypsilanti, MI 48197-2610
Phone
(734) 334-6074
NPI assigned
Mar 7, 2018
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Karyn Baker, LMSW
Title
Owner/Clinical Therapist
Phone
(734) 334-6074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MI Primary

Addresses

Primary practice location

120 N Huron St Unit 1
Ypsilanti, MI 48197-2610

Mailing address

120 N Huron St Unit 1
Ypsilanti, MI 48197-2610
Phone (734) 334-6074

National Provider Directory

National Provider Directory

Locations

120 N Huron St
Unit 1
Ypsilanti, MI 48197
Phone (734) 334-6074

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1023510807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N HURON ST UNIT 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972610",
            "telephone_number": "734-334-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N HURON ST UNIT 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972610",
            "telephone_number": "734-334-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS BAKER THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "734-334-6074",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.