Individual provider Active NPI

Mary Elizabeth Baker, LCSW

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1114183134
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006864 Issued in VA
Practice address
7293 Shady Grove Rd
Mechanicsville, VA 23111-2129
Phone
(804) 398-8401
Fax
(804) 980-7743
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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 0904006864 VA Primary

Addresses

Primary practice location

7293 Shady Grove Rd
Mechanicsville, VA 23111-2129

Mailing address

7293 Shady Grove Rd
Mechanicsville, VA 23111-2129
Phone (804) 398-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090626000299 VA Practitioner - Clinical Social Worker 3779634076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Old Towne Counseling Services LLCGroup PAC ID 7618149865, 28 clinicians

Practice addresses (Care Compare)

7489 Right Flank Rd
Suite 330
Mechanicsville, VA 23116-3845
Phone (804) 398-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006864VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Old Towne Counseling Services, LLC CurrentSince Jun 19, 2013 Accepting new patients
Hanover County Board of Supervisors Past Accepting new patients
Stepping Stone Counseling, LLC Clinical PastSince Jun 19, 2013 Accepting new patients
Hanover County Board of Supervisors Past Accepting new patients

Locations

7293 Shady Grove Rd
Mechanicsville, VA 23111
Phone (804) 543-0375

7489 Right Flank Rd
Ste 330
Mechanicsvlle, VA 23116

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1114183134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7293 SHADY GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231112129",
            "telephone_number": "804-398-8401",
            "fax_number": "804-980-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7293 SHADY GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231112129",
            "telephone_number": "804-398-8401",
            "fax_number": "804-980-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.