Individual provider Active NPI

Rebecca Baker, LMSW-CC

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1053830299
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC16808 Issued in ME
Practice address
37 Park St Ste 201
Lewiston, ME 04240-7196
Phone
(207) 854-1030
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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 MC16808 ME Primary

Addresses

Primary practice location

37 Park St Ste 201
Lewiston, ME 04240-7196

Mailing address

100 Gannett Dr Ste 2
South Portland, ME 04106-5900

Other identifiers 1

IdentifierTypeStateIssuer
MC16808MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20220204000931 ME Practitioner - Clinical Social Worker 0840683322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanside Community ServicesGroup PAC ID 6406980903, 4 clinicians

Practice addresses (Care Compare)

22 W Cole Rd
Suite 103
Biddeford, ME 04005-9431
Phone (207) 571-9923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC16808MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Community Services CurrentSince Jan 1, 2022 Accepting new patients

Locations

22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1053830299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE 2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 201",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407196",
            "telephone_number": "207-854-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "REBECCA",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC16808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC16808",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.