Individual provider Active NPI

Tonya Baker, MSW LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1083035646
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14026 Issued in AZ
Practice address
2702 N 3Rd St
Suite 4020
Phoenix, AZ 85004-1130
Phone
(602) 323-3393
Fax
(602) 323-3399
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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 14026 AZ Primary

Addresses

Primary practice location

2702 N 3Rd St
Suite 4020
Phoenix, AZ 85004-1130

Mailing address

3830 East Gateway
Phoenix, AZ 85008-4115
Phone (602) 243-7277

Other names 1

  • Tonya Corley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230422000328 TX Practitioner - Clinical Social Worker 9436381258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14026AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pascua Yaqui Tribe CurrentSince Jan 5, 2023 Accepting new patients
Pascua Yaqui Tribe CurrentSince Jan 5, 2023 Accepting new patients
Mountain Park Health Center Past Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

9405 S Avenida del Yaqui
Guadalupe, AZ 85283
Phone (480) 768-2000

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

Organizations & group practices 4

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": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1083035646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 EAST GATEWAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084115",
            "telephone_number": "602-243-7277",
            "fax_number": "602-286-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 N 3RD ST",
            "address_2": "SUITE 4020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041130",
            "telephone_number": "602-323-3393",
            "fax_number": "602-323-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TONYA",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "14026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "CORLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.