Samuel Dixon Baker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007237 Issued in GA

Practice address

215 North Ave NE Apt 3206
Atlanta, GA 30308-2459

Phone

(812) 457-0543

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1033862503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NORTH AVE NE APT 3206",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082459",
            "telephone_number": "812-457-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NORTH AVE NE APT 3206",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082459",
            "telephone_number": "812-457-0543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 Flowers Rd S Ste 149",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303415544",
            "country_code": "US",
            "telephone_number": "678-547-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SAMUEL",
        "middle_name": "DIXON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Baker, PT
• Megan Elizabeth Baker, PNP-AC
• Melanie Lynn Baker, RD, LD, CDE
• Natalie S. Baker, PSYD
• Rebecca Shan Baker, NP
• Suzanne Paulette Baker, PH.D.
• Tierra D Baker
• Varrenza Lashaun Baker, CTRS
• Pooria Bakheshi
• Ahmad Hassan Bakhribah, MD

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.