Active NPI
Joseph Baecher, MSW
- Social Worker
- Pomona, NY
National Provider Identifier
1083782668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- RP014947
- Practice address
- 26 Firemans Memorial Drive
Suite 205a
Pomona, NY 10970 - Phone
- (845) 354-8408
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | RP014947 | NY | Primary |
Addresses
Primary practice location
26 Firemans Memorial Drive
Suite 205a
Pomona, NY 10970
Mailing address
10 Letts CR
Monroe, NY 10950
Phone (845) 783-7495
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622 | Other | BCD | |
| RP014947 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP014947 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083782668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LETTS CR",
"city": "MONROE",
"state": "NY",
"postal_code": "10950",
"telephone_number": "845-783-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FIREMANS MEMORIAL DRIVE",
"address_2": "SUITE 205A",
"city": "POMONA",
"state": "NY",
"postal_code": "10970",
"telephone_number": "845-354-8408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAECHER",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "RP014947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCD",
"identifier": "622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RP014947",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.