Individual provider Active NPI

Jesse Levi Baker, MSW, LCSW

  • Clinical Social Worker
  • North Kingstown, RI
National Provider Identifier
1104713684
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW04103 Issued in RI
Practice address
426 Scrabbletown Rd Ste C
North Kingstown, RI 02852-3649
Phone
(401) 477-9922
Fax
(401) 477-9922
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 CSW04103 RI Primary

Addresses

Primary practice location

426 Scrabbletown Rd Ste C
North Kingstown, RI 02852-3649

Mailing address

411 Valley St Unit 24
Providence, RI 02908-5672
Phone (401) 226-9999

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW04103RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Path Wellness Center, LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

426 Scrabbletown Rd
Ste C
North Kingstown, RI 02852
Phone (401) 477-9922

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": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1104713684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 VALLEY ST UNIT 24",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085672",
            "telephone_number": "401-226-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SCRABBLETOWN RD STE C",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523649",
            "telephone_number": "401-477-9922",
            "fax_number": "401-477-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JESSE",
        "middle_name": "LEVI",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW04103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.