Active NPI
Jesse Levi Baker, MSW, LCSW
- Clinical Social Worker
- North Kingstown, RI
National Provider Identifier
1104713684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW04103
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW04103 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Path Wellness Center, LLC | Current | 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.
-
- Mental Health Counselor
- North Kingstown, RI
- NPI 1013776939
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.